Active NPI
Department of Health and Hospitals
- Substance Abuse Rehabilitation Facility
- Lake Charles, LA
National Provider Identifier
1174563324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 044
- Legal business name
- DEPARTMENT OF HEALTH AND HOSPITALS
- Practice address
- 4012 Avenue H
Lake Charles, LA 70615-5186 - Phone
- (337) 491-2355
- Fax
- (337) 491-2492
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jemece Michelle Richard, LAC
- Title
- Inpatient Manager
- Phone
- (337) 491-2355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 044 | LA | Primary |
Addresses
Primary practice location
4012 Avenue H
Lake Charles, LA 70615-5186
Mailing address
4012 Avenue H
Lake Charles, LA 70615-5186
Phone (337) 491-2355
Other names 1
- Briscoe Detox Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, LA
- NPI 1023162096
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174563324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 AVENUE H",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706155186",
"telephone_number": "337-491-2355",
"fax_number": "337-491-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 AVENUE H",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706155186",
"telephone_number": "337-491-2355",
"fax_number": "337-491-2492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "JEMECE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "INPATIENT MANAGER",
"authorized_official_telephone_number": "337-491-2355",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "LA",
"license": "044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Briscoe Detox Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.