Provider Demographics
NPI:1215365689
Name:BEHAVIORAL SERVICES OF LOUISIANA, L.L.C.
Entity Type:Organization
Organization Name:BEHAVIORAL SERVICES OF LOUISIANA, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AGENT OF SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:BLONDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:225-293-2700
Mailing Address - Street 1:1000 CHINABERRY DR STE 900
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2455
Mailing Address - Country:US
Mailing Address - Phone:318-746-0420
Mailing Address - Fax:318-626-5429
Practice Address - Street 1:8326 KELWOOD AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4803
Practice Address - Country:US
Practice Address - Phone:225-929-5738
Practice Address - Fax:225-929-9740
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BCM HOLDINGS, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-23
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health