NPIMap

Organization Active NPI

Set Free Indeed Ministry

  • Addiction (Substance Use Disorder) Psychologist
  • Baton Rouge, LA
National Provider Identifier
1346415643
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
315 Issued in LA
Legal business name
SET FREE INDEED MINISTRY
Practice address
10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone
(225) 924-1910
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mrs. Tonja Myles
Title
Ceo
Phone
(225) 924-1910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 315 LA
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X 315 LA Primary

Addresses

Primary practice location

10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264

Mailing address

10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (225) 924-1910

Other names 1

  • Free Indeed Intensive Outpatient Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Free Indeed Intensive Outpatient Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1346415643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10473 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "225-924-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10473 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "225-924-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SET FREE INDEED MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "MYLES",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-924-1910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "315",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free Indeed Intensive Outpatient Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.