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Louisiana Health & Rehabilitation Coptions

Organization Active NPI Intellectual & Developmental Disabilities Psychologist · Lafayette, LA

NPI 1003063199 · NPPES record last updated Aug 20, 2008

Key facts

NPI
1003063199
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual & Developmental Disabilities Psychologist 103TM1800X
License
PCA 11826 (LA)
Legal business name
LOUISIANA HEALTH & REHABILITATION COPTIONS
Practice address
930 Webb St
Lafayette, LA 70501-3930
Phone
(337) 267-7375
Fax
(337) 269-5616
NPI assigned
Aug 20, 2008
Organization subpart
No

Authorized official

Name
Ms. Soundra Johnson Temple
Title
Chief Executive Officer
Phone
(225) 938-0661

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Louisiana Health Rehabilitation Coptions (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TM1800X PCA 11826 LA Yes

Addresses

Primary practice location

930 Webb St
Lafayette, LA 70501-3930

Mailing address

1701 Main St
Baton Rouge, LA 70802-3764
Phone (225) 231-2490

Other names

  • Louisiana Health & Rehabilitation Options Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2008.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1003063199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MAIN ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708023764",
            "telephone_number": "225-231-2490",
            "fax_number": "225-231-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WEBB ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705013930",
            "telephone_number": "337-267-7375",
            "fax_number": "337-269-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HEALTH & REHABILITATION COPTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "SOUNDRA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-938-0661",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "LA",
            "license": "PCA 11826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Health & Rehabilitation Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

All providers in Lafayette, LA · Intellectual & Developmental Disabilities Psychologist in Louisiana

Sources for this page

Verify at the official NPI Registry.