Bethlehem Baptist Church Ofbr
Organization Active NPI Community/Behavioral Health Agency · Baton Rouge, LA
NPI 1184097933 · NPPES record last updated Nov 2, 2015
Key facts
- NPI
- 1184097933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- SA20007669 (LA)
- Legal business name
- BETHLEHEM BAPTIST CHURCH OFBR
- Practice address
- 2274 Wooddale Blvd
Baton Rouge, LA 70806-1444 - Phone
- (225) 928-1088
- Fax
- (225) 932-9488
- NPI assigned
- Nov 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Ms. Patrice Butler, CAC, CCS
- Title
- Clinical Supervisor
- Phone
- (225) 928-1088
Corporate family (same tax ID) 1
Practitioners 4
-
Jackie Simmons, MSP, CIT3407
National Provider Directory
- Tax ID family
- Bethlehem Baptist Church
Locations
2274 Wooddale Blvd
Baton Rouge, LA 70806
Phone (225) 928-1088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | SA20007669 | LA | Yes |
Addresses
Primary practice location
2274 Wooddale Blvd
Baton Rouge, LA 70806-1444
Mailing address
2274 Wooddale Blvd
Baton Rouge, LA 70806-1444
Phone (225) 928-1088
Other names
- Bethlehem Baptist Drug Treatment Program
Other providers in Baton Rouge, LA
- Cynthia Bethencourt
- Bethesda Adult Daycare Center, LLC
- Bethesda Rehabilitation Hospital, Inc.
- Katie Bethke
- Bethlehem Baptist Church
- Iesha Bethley
- Katherine Deniece Bethley
- Melissa Bethley
- Maya R Bettagere
- Ramesh Bettagere
All providers in Baton Rouge, LA · Community/Behavioral Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.