Provider Demographics
NPI:1922319342
Name:LOUISIANA HEALTH AND REHABILITATION OPTIONS, INC.
Entity Type:Organization
Organization Name:LOUISIANA HEALTH AND REHABILITATION OPTIONS, INC.
Other - Org Name:LA HEALTH & REHAB. OPTIONS SOCIAL & MEDICALLY SUPPORTED DETOX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHANTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RAC
Authorized Official - Phone:225-354-8325
Mailing Address - Street 1:214 OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4618
Mailing Address - Country:US
Mailing Address - Phone:225-231-2490
Mailing Address - Fax:225-231-2857
Practice Address - Street 1:4914 MCCLELLAND DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-3101
Practice Address - Country:US
Practice Address - Phone:225-354-8325
Practice Address - Fax:225-354-8327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUISIANA HEALTH AND REHABILITATION OPTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA232101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty