NPIMap

Organization Active NPI

Educational and Treatment Council, Inc.

Doing business as ETC Inc.

  • Community/Behavioral Health Agency
  • Lake Charles, LA
National Provider Identifier
1184990517
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
039 Issued in LA
Legal business name
EDUCATIONAL AND TREATMENT COUNCIL, INC.
Doing business as
ETC Inc.
Practice address
2400 Merganser St
Building B
Lake Charles, LA 70615-6898
Phone
(337) 433-1062
NPI assigned
Mar 29, 2012
Last updated
Jul 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Ms. Amy Dunn, LCSW
Title
Executive Director
Phone
(337) 433-1062

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 14681 LA
Community/Behavioral Health Agency 251S00000X 2347 LA
Community/Behavioral Health Agency 251S00000X 039 LA Primary

Addresses

Primary practice location

2400 Merganser St
Building B
Lake Charles, LA 70615-6898

Mailing address

PO Box 864
Lake Charles, LA 70602-0864
Phone (337) 433-1062

Other names 1

  • ETC Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2400 Merganser St
#B
Lake Charles, LA 70615
Phone (337) 433-1062

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1184990517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706020864",
            "telephone_number": "337-433-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MERGANSER ST",
            "address_2": "BUILDING B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706156898",
            "telephone_number": "337-433-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL AND TREATMENT COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-433-1062",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "14681",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "2347",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETC Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 2, 2012; 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.