Organization Active NPI

Serenity Treatment Center of Louisiana LLC

  • Multi-Specialty Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1164061776
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SERENITY TREATMENT CENTER OF LOUISIANA LLC
Practice address
2325 Weymouth Dr
Baton Rouge, LA 70809-1481
Phone
(225) 361-0899
Fax
(225) 367-1422
NPI assigned
Dec 30, 2019
Organization subpart
Yes
Parent organization
SERENITY TREATMENT CENTER OF LOUISIANA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Talbert
Title
Credentialing Manager
Phone
(337) 855-9023

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2325 Weymouth Dr
Baton Rouge, LA 70809-1481

Mailing address

2325 Weymouth Dr
Baton Rouge, LA 70809-1481
Phone (225) 361-0899

Other names 1

  • Serenity Treatment Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serenity Treatment Center of Louisiana LLC2 organizations share this tax ID, including this one
Part of
Serenity Treatment Center of Louisiana LLC

Other organizations with this tax ID 1

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

Locations

2325 Weymouth Dr
Baton Rouge, LA 70809
Phone (225) 361-0899

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1164061776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 WEYMOUTH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091481",
            "telephone_number": "225-361-0899",
            "fax_number": "225-367-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 WEYMOUTH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091481",
            "telephone_number": "225-361-0899",
            "fax_number": "225-367-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY TREATMENT CENTER OF LOUISIANA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY TREATMENT CENTER OF LOUISIANA LLC",
        "enumeration_date": "2019-12-30",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "337-855-9023"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Treatment Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Treatment Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.