Active NPI
Southern Select Housing LLC
- General Practice Dentistry
- Baton Rouge, LA
National Provider Identifier
1184555112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SOUTHERN SELECT HOUSING LLC
- Practice address
- 12518 Wyndy Ave
Baton Rouge, LA 70816-4759 - Phone
- (225) 445-6370
- NPI assigned
- May 27, 2026
- 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
- Trey Joseph Iverstine, LMT
- Title
- President
- Phone
- (225) 445-6370
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Behavior Technician | 106S00000X | |||
| Chiropractor | 111N00000X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Nutritionist | 133N00000X | |||
| Registered Nurse | 163W00000X | |||
| Health & Wellness Coach | 171400000X | |||
| Pharmacist | 183500000X | |||
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
12518 Wyndy Ave
Baton Rouge, LA 70816-4759
Mailing address
12518 Wyndy Ave
Baton Rouge, LA 70816-4759
Phone (225) 445-6370
National Provider Directory
National Provider Directory- Tax ID family
- Southern Select Housing LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Massage Therapist
- Baton Rouge, LA
- NPI 1386561330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1184555112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12518 WYNDY AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164759",
"telephone_number": "225-445-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12518 WYNDY AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164759",
"telephone_number": "225-445-6370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN SELECT HOUSING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "IVERSTINE",
"authorized_official_first_name": "TREY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-445-6370",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Southern Neuromonitoring, LLC
- Southern Nursing Home Health
- Southern Nursing Home Health
- Southern Regional Medical Center
- Southern Regional Wound Care Consultants, LLC
- Southern Select Housing LLC
- Southern Select Massage Therapy LLC
- Southern University Student Health Center
- Southwest Mississippi Anesthesia
- Aleksandra Sowder, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.