National Provider Identifier Database

NORTHEAST LA SUBSTANCE ABUSE CLINIC
Rehabilitation, Substance Use Disorder


Contact Information

NORTHEAST LA. SUBSTANCE ABUSE CLINIC
809 JULIA ST
RAYVILLE, LA71269-2648
Phone: 318-728-2057
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Case Management 251B00000X

* Indicates primary specialty

NPI Profile & details for NORTHEAST LA. SUBSTANCE ABUSE CLINIC

NPI Number 1407116015
Legal business name
LBN
NORTHEAST LA. SUBSTANCE ABUSE CLINIC
Authorized official SIERRA TALBERT - (COUNSELOR)
Entity Organization
Organization subpart No
Enumeration date 05/17/2012
Last updated 10/25/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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