HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA (NPI# 1790236586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790236586 |
| Entity Type | Organization |
| Organization Name | HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA |
| Practice Address |
2156 Wooddale Blvd Suite 750 Baton Rouge LA 70806-1403 |
| Practice Telephone | 2254443169 |
| Mailing Telephone | 2254443169 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | MR. TOMMIE JEROME DYER (CEO/PRESIDENT) |
| Authorized Official Telephone | 5044058471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 510417 | LA | Agencies |
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | 510417 | LA | Agencies |
| Street Address |
2156 WOODDALE BLVD SUITE 750 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578517066 | Acceptance Physical Medicine & Rehabilitation Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 | 2006-05-20 |
| 1629617220 | Michelle Yvonne Davis | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-12-30 |
| 1124667712 | Gabrielle Roberson | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-12-30 |
| 1821641309 | Dejoneria Jackson | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-07-23 |
| 1306499033 | Nathandria Breedlove Bradley | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-07-22 |
| 1922506070 | Levida London | Social Worker | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2018-01-24 |
| 1720519119 | Ann Agbiak | Counselor | 2156 Wooddale Blvd, 100, Baton Rouge, LA 70806-1403 | 2017-03-27 |
| 1740728872 | Corondelette Robertson | Counselor | 2156 Wooddale Blvd, Ste. 100, Baton Rouge, LA 70806-1403 | 2017-02-09 |
| 1366980872 | Mechelle Keys | Counselor | 2156 Wooddale Blvd, Ste. 100, Baton Rouge, LA 70806-1403 | 2017-02-03 |
| 1295288777 | Kellee M Matthews | Counselor | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1386265148 | Crossroads Recovery House | Community/Behavioral Health | 10377 Goodwood Blvd, Baton Rouge, LA 70815-4526 | 2020-05-04 |
| 1871144725 | Upward Health of Louisiana LLC | Community/Behavioral Health | 3867 Plaza Tower Dr, Baton Rouge, LA 70816-4378 | 2019-09-23 |
| 1912555335 | Healthy Progressions, LLC | Community/Behavioral Health | 1761 Physicians Park Dr, Baton Rouge, LA 70816-3223 | 2019-08-28 |
| 1962974725 | Community Outreach Services LLC | Community/Behavioral Health | 2133 Silverside Dr Ste F, Baton Rouge, LA 70808-4179 | 2018-12-18 |
| 1821563552 | Addiction Counseling and Educational Resources, LLC | Community/Behavioral Health | 9431 Common St, Baton Rouge, LA 70809-1435 | 2018-10-09 |
| 1336626118 | Empowerme Mental Health | Community/Behavioral Health | 5522 Jones Creek Rd, Baton Rouge, LA 70817-2158 | 2018-07-24 |
| 1275032013 | Shanel Wolf | Community/Behavioral Health | 4348 S Jeffrey Dr Ste 101&102, Baton Rouge, LA 70816-4196 | 2018-02-07 |
| 1598263022 | C & C Development Services | Community/Behavioral Health | 9235 Kimberly Way, Baton Rouge, LA 70814-2863 | 2018-01-30 |
| 1831603463 | Positive Refelections Community Health Services | Community/Behavioral Health | 3300 N Sherwood Forest Dr, Baton Rouge, LA 70814-5326 | 2017-11-17 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA.
| 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.