Provider Demographics
NPI:1982768644
Name:CAPITAL AREA HUMAN SERVICES DISTRICT
Entity Type:Organization
Organization Name:CAPITAL AREA HUMAN SERVICES DISTRICT
Other - Org Name:CHILDREN'S BEHAVIORAL HEALTH SERVICES
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 1:422 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6505
Practice Address - Country:US
Practice Address - Phone:225-922-0445
Practice Address - Fax:225-922-0068
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL AREA HUMAN SERVICES DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-20
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA116261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1541842Medicaid