CENTER FOR INTEGRATED BEHAVIORAL HEALTH, LLC (NPI# 1396285581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396285581 |
| Entity Type | Organization |
| Organization Name | CENTER FOR INTEGRATED BEHAVIORAL HEALTH, LLC |
| Practice Address |
10473 Old Hammond Hwy Baton Rouge LA 70816-8264 |
| Practice Telephone | 2259241910 |
| Practice Fax Number | 2259241988 |
| Mailing Telephone | 2259241910 |
| Mailing Fax Number | 2259241988 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | MR. RANDAL A GOMEZ (CEO) |
| Authorized Official Telephone | 2259339000 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOODLAKE MANAGEMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
10473 OLD HAMMOND HWY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-8264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346415643 | Set Free Indeed Ministry | Counselor | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2008-04-28 |
| 1013522382 | Gwyn Rita Becker | Counselor | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2020-09-13 |
| 1114544665 | Charron Thomas | Marriage & Family Therapist | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2020-07-01 |
| 1730706367 | Jake Guidry | Social Worker | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2020-06-30 |
| 1972139202 | Kelly Danielle Barbin | Counselor | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2020-03-18 |
| 1548811789 | Paula Poirrier | Counselor | 10473 Old Hammond Hwy, Baton Rouge, LA 70816 | 2019-09-27 |
| 1699235770 | Henry Neal Wallace | Counselor | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2019-03-23 |
| 1477019420 | Holly Anne Connelly | Counselor | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2019-02-14 |
| 1972074656 | Sec Medical Transportation LLC | Secured Medical Transport (VAN) | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2018-12-06 |
| 1992281646 | Crystal Wyeth | Counselor | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1043264351 | Ness Healthcare Nfp | Psychiatry & Neurology | 23515 Hwy 190, Mandeville, LA 70448 | 2006-05-20 |
| 1912950957 | Jeri Lynn Rasch | Psychiatry & Neurology | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2006-05-19 |
| 1790751642 | Connie Hale | Psychiatry & Neurology | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2006-02-28 |
| 1790774081 | Tawfik M. Mukhtar-benghozi | Psychiatry & Neurology | 5920 Coliseum Blvd., Alexandria, LA 71303-3714 | 2005-10-19 |
| 1922546035 | Browers, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2017-02-09 |
| 1912226697 | Olufemi Ademola Ogundeji | Psychiatry & Neurology | 1006 Highland Ave, Brentwood Hospital, Shreveport, LA 71101-4103 | 2010-05-20 |
| 1528254257 | Acadia Hospital of Lafayette, LLC | Psychiatry & Neurology | 2520 N University Ave, Lafayette, LA 70507-5306 | 2007-09-17 |
| 1699700880 | George W. Diggs Jr. | Psychiatry & Neurology | 302 Dulles Dr, Suite 1, Lafayette, LA 70506-3008 | 2006-07-12 |
| City | BATON ROUGE |
| Zip Code | 70816 |
Please comment or provide details below to improve the information on CENTER FOR INTEGRATED BEHAVIORAL HEALTH, LLC.
| 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.