Keys for Sober Living

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

353, 353A Issued in LA

Legal business name

KEYS FOR SOBER LIVING

Doing business as

Opiate Replacement Therapy Centers of America, Inc.

Practice address

132 W Saint Peter St
New Iberia, LA 70560-3743

Phone

(337) 364-9094

Fax

(337) 364-9071

NPI assigned

Sep 24, 2008

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.As reported in NPPES

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

Authorized official

Name

Mr. Richard De la Houssaye Sr.

Title

Program Sponsor

Phone

(337) 364-9094

Specialties & licenses 1

Addresses

Other names 1

• Opiate Replacement Therapy Centers of America, Inc. Doing business as

Tax ID family

Opiate Replacement Therapy Centers of America Inc2 organizations share this tax ID, including this one

Part of

Opiate Replacement Therapy Centers of America Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Opiate Replacement Therapy Centers of America, Inc.

  • Clinic/Center
  • Breaux Bridge, LA
  • NPI 1487804779
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Opiate Replacement Therapy Centers of America, Inc.

  • Clinic/Center
  • Breaux Bridge, LA
  • NPI 1487804779
  NPPES parent name

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.

• Ralph J Melancon Jr., LAC, CCS, SAP

  • Addiction (Substance Use Disorder) Counselor
  • New Iberia, LA
  • NPI 1376098996
  NPD (past)
• Joseph Edward Wilson, PHD, LCSW-BACS, LAC

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1063622421
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1326298522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603743",
            "telephone_number": "337-364-9094",
            "fax_number": "337-364-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603743",
            "telephone_number": "337-364-9094",
            "fax_number": "337-364-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS FOR SOBER LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "DE LA HOUSSAYE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "337-364-9094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "353, 353A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opiate Replacement Therapy Centers of America, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Joseph Kaufman III, M.D.
• Janai' N Kelly
• Helen Kennedy
• Kennell P. Brown, Jr. DDS, Apdc
• Kenneth a, Ritter Jr. M.D., Apc
• Keys for Sober Living, LLC
• Matthew Tyler Khosropour
• Nanette Derouen Kibbe, MS SPEECH PATHOLOGY
• Craig Matthew Kidder I, MSHSA, ANP-C, RHIA
• Dwayne Kincade, DDS

• Clinic/Center in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.