National Provider Identifier Database

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
2000 FAIRFIELD AVENUE
SHREVEPORT, LA71104
Phone: 318-222-8511
Fax: 318-212-5565
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

NPI Number 1699955815
Legal business name
LBN
COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Authorized official JANET MILLER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/05/2007
Last updated 07/11/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 238
  • LA Medicaid: 3571455
  • LA Medicaid: 3571471
  • LA Other: 1891152328 CLINIC NPI
  • LA Other: 1902643455 CLINIC NPI

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.

Reviews for COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

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