STATE OF LA/DHH/OBH (NPI# 1396024303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396024303 |
| Entity Type | Organization |
| Organization Name | STATE OF LA/DHH/OBH |
| Other Organization Name | LAKE CHARLES BEHAVIORAL HEALTH CLINIC |
| Practice Address |
4105 Kirkman St Lake Charles LA 70607-4603 |
| Practice Telephone | 3374754930 |
| Mailing Telephone | 3374754930 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | MS. LORETTA TUTSON COTLONE (LPN) |
| Authorized Official Telephone | 3374754930 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 870077 | LA | Agencies |
| Other Name | Type Code |
|---|---|
| Lake Charles Behavioral Health Clinic | Doing Business As Name - Organization |
| Street Address |
4105 KIRKMAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578517439 | Craig D. Waggoner | Psychologist | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2006-05-22 |
| 1659988343 | Katie Bruce | Pharmacist | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2020-09-26 |
| 1598245623 | Imperial Calcasieu Human Services Authority | Clinic/Center | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2018-08-17 |
| 1730698838 | Rebecca Becky Perry | Social Worker | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2017-09-21 |
| 1538566336 | Troy Barrow | Registered Nurse | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-11-24 |
| 1992101240 | Clint Dupre | Licensed Practical Nurse | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-11-14 |
| 1386057891 | Vicki Ann Lebleu | Nurse Practitioner | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-06-03 |
| 1750792248 | Genoa Healthcare, LLC | Pharmacy | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-05-19 |
| 1376971200 | Lexi Berryhill | Social Worker | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2013-11-01 |
| 1700127487 | Dana Young | Counselor | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2013-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245732536 | Exceptional Med-help, LLC | Nursing Care | 2311 Legion St, Lake Charles, LA 70601-6676 | 2018-03-02 |
| 1134648900 | Word of Hope | Nursing Care | 3975 East Prien Lake Rd, Lake Charles, LA 70615 | 2017-09-13 |
| 1083088991 | Lake Area Medical Services, LLC | Nursing Care | 2420 Country Clud Rd, Lake Charles, LA 70605 | 2015-11-17 |
| 1487116620 | Powerful Healing Wound Care, LLC | Nursing Care | 2411 Ernest St, Lake Charles, LA 70601-7265 | 2019-04-05 |
| 1508231796 | Lake Area Medical Services | Nursing Care | 900 Country Club Rd, Lake Charles, LA 70605-6018 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040661 | Angel Hands Healthcare LLC | Nursing Care | 401 Lynn St Ste A, Vidalia, LA 71373-3806 | 2020-07-21 |
| 1912522962 | Blened Roots Wellness and Consulting | Nursing Care | 469 Autumn Haven Cir, Lacombe, LA 70445-6259 | 2020-06-15 |
| 1255807541 | Carla Pruett | Nursing Care | 6140 Panama Rd, Sorrento, LA 70778-3601 | 2018-10-15 |
| 1023594843 | Pierre Care Services, LLC | Nursing Care | 4875 S Sherwood Forest Blvd Ste A31, Baton Rouge, LA 70816-4640 | 2018-07-15 |
| 1881115376 | Gifted Nurses, LLC | Nursing Care | 2748 Metairie Lawn Dr, Metairie, LA 70002-6182 | 2017-07-05 |
| 1922537018 | Kyefe Tameka Marshall | Nursing Care | 3340 Severn Ave Ste 320, Metairie, LA 70002-7410 | 2017-06-12 |
| 1427441633 | Elroy Miller | Nursing Care | 407 Boulder Creek Pkwy, Lafayette, LA 70508-1718 | 2015-03-12 |
| 1053742882 | Nola Pediatrics | Nursing Care | 2124 Driftwood Blvd, Kenner, LA 70065-3574 | 2013-12-04 |
| 1124371083 | A Balanced Change, LLC | Nursing Care | 8138 Cohn St, New Orleans, LA 70118-2802 | 2012-10-16 |
| 1063772390 | Dryades Ymca | Nursing Care | 2220 Oretha Castle Haley Boulevard, New Orleans, LA 70113-1508 | 2012-05-21 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70607 |
Please comment or provide details below to improve the information on STATE OF LA/DHH/OBH.
| 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.