Provider Demographics
NPI:1669688503
Name:CHOICES OF LOUISIANA INC
Entity Type:Organization
Organization Name:CHOICES OF LOUISIANA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAUPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MA
Authorized Official - Phone:225-450-3340
Mailing Address - Street 1:128 WOODLAND DRIVE LAPLACS LA 70068
Mailing Address - Street 2:PO BOX 310
Mailing Address - City:BRITTANY
Mailing Address - State:LA
Mailing Address - Zip Code:70718
Mailing Address - Country:US
Mailing Address - Phone:225-647-4560
Mailing Address - Fax:225-647-2830
Practice Address - Street 1:128 WOODLAND DRIVE
Practice Address - Street 2:
Practice Address - City:LAPLACE
Practice Address - State:LA
Practice Address - Zip Code:70068
Practice Address - Country:US
Practice Address - Phone:985-651-3777
Practice Address - Fax:985-651-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadoneGroup - Single Specialty