Provider Demographics
NPI:1194470906
Name:POST TRAUMA INSTITUTE OF LOUISIANA
Entity Type:Organization
Organization Name:POST TRAUMA INSTITUTE OF LOUISIANA
Other - Org Name:NEW START IOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:SULLIVAN
Authorized Official - Last Name:SALONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:225-361-8225
Mailing Address - Street 1:PO BOX 83814
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70884-3814
Mailing Address - Country:US
Mailing Address - Phone:225-361-8225
Mailing Address - Fax:225-751-5847
Practice Address - Street 1:10512 S GLENSTONE PL
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2966
Practice Address - Country:US
Practice Address - Phone:225-751-5412
Practice Address - Fax:225-751-5847
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POST TRAUMA INSTITUTE OF LOUISIANA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-21
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty