Unbound Family Support Organization, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UNBOUND FAMILY SUPPORT ORGANIZATION, LLC.

Practice address

3180 Convention St
Suite B
Baton Rouge, LA 70806-3711

Phone

(225) 907-9692

NPI assigned

Jan 27, 2017

Last updated

Jan 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Alexander HarrisNPI 1811428584

Title

Managing Partner

Phone

(225) 907-9692

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jason Harris

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1811428584
  NPD Authorized official
• Juequita Lashawn Platt, LMSW

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
  • NPI 1801369855
  NPD (past)
• Shanna Danielle Richardson, CAC, CCS,CCGC

  • Counselor
  • Hammond, LA
  • NPI 1790289247
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1215474275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 CONVENTION ST",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063711",
            "telephone_number": "225-907-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 CONVENTION ST",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063711",
            "telephone_number": "225-907-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBOUND FAMILY SUPPORT ORGANIZATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "225-907-9692",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.