LA PAZ, LLC (NPI# 1073015574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073015574 |
| Entity Type | Organization |
| Organization Name | LA PAZ, LLC |
| Practice Address |
1404 S Vienna St Ruston LA 71270-6428 |
| Mailing Address |
211 Laguna Villas Dr Calhoun LA 71225-8242 |
| Practice Telephone | 3182102996 |
| Mailing Telephone | 3182249200 |
| Mailing Fax Number | 3182249201 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | MRS. LAKYSHA STARKS-SAMPSON (OWNER) |
| Authorized Official Telephone | 3182249200 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | La Paz, LLC | 44 Cook Street, Suite 100, Denver, CO 80206 |
| Connecticut Business Registrations | LA PAZ, LLC | 516 Rt. 87, Columbia, CT 06237 |
| Street Address |
1404 S VIENNA ST |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831556968 | Anthony Drayton | Case Manager/Care Coordinator | 1404 S Vienna St, Ruston, LA 71270 | 2016-01-20 |
| 1467015917 | Anbrea Spivey | Social Worker | 1404 S Vienna St, Ruston, LA 71270-6428 | 2019-04-19 |
| 1144783549 | Julia C Spivey | Social Worker | 1404 S Vienna St, Ruston, LA 71270-6428 | 2019-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117297 | Pathways Substance Abuse, L.L.C. | Substance Abuse Rehabilitation Facility | 242 W Shamrock Ave Unit 8d, Pineville, LA 71360-6439 | 2019-07-31 |
| 1023113651 | Focus On Family Living Inc | Substance Abuse Rehabilitation Facility | 2998 Dr Martin Luther King Dr, Shreveport, LA 71107-4841 | 2006-09-14 |
| 1063050011 | Bridges To Serenity LLC | Substance Abuse Rehabilitation Facility | 660 N Foster Dr, Baton Rouge, LA 70806-1871 | 2019-12-19 |
| 1235500463 | New Beginnings Adolecent Recovery Center | Substance Abuse Rehabilitation Facility | 1649 Linwood Loop, Opelousas, LA 70570-1671 | 2015-10-14 |
| 1437533734 | April Washington | Substance Abuse Rehabilitation Facility | 23515 Highway 190, Mandeville, LA 70448-7334 | 2015-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.