NPIMap

Organization Active NPI

State of la/DHH/Obh

Doing business as Lake Charles Behavioral Health Clinic

  • Nursing Care Agency
  • Lake Charles, LA
National Provider Identifier
1396024303
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
870077 Issued in LA
Legal business name
STATE OF LA/DHH/OBH
Doing business as
Lake Charles Behavioral Health Clinic
Practice address
4105 Kirkman St
Lake Charles, LA 70607-4603
Phone
(337) 475-4930
NPI assigned
Aug 8, 2011
Last updated
Aug 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Ms. Loretta Tutson Cotlone, LPN
Title
LPN
Phone
(337) 475-4930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 870077 LA Primary

Addresses

Primary practice location

4105 Kirkman St
Lake Charles, LA 70607-4603

Mailing address

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-4930

Other names 1

  • Lake Charles Behavioral Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mansfield Behavioral Health31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1396024303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF LA/DHH/OBH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "COTLONE",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "TUTSON",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "337-475-4930",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "870077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Charles Behavioral Health Clinic",
            "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 Aug 8, 2011; 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.