Provider Demographics
NPI:1174681852
Name:CAPITAL AREA HUMAN SERVICES DISTRICT
Entity Type:Organization
Organization Name:CAPITAL AREA HUMAN SERVICES DISTRICT
Other - Org Name:BATON ROUGE BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANZLEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGHINGHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW-BACS, LAC
Authorized Official - Phone:225-922-2700
Mailing Address - Street 1:PO BOX 66558
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70896-6558
Mailing Address - Country:US
Mailing Address - Phone:225-922-2700
Mailing Address - Fax:225-362-5319
Practice Address - Street 1:2751 WOODDALE BLVD STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-7567
Practice Address - Country:US
Practice Address - Phone:225-925-1906
Practice Address - Fax:225-362-5356
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL AREA HUMAN SERVICES DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-05
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0801X, 261QM0801X
LA1161041C0700X
LA425E261QR0800X
LA425B261QR0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1541842Medicaid
LA1541842Medicaid