NPIMap

Organization Active NPI

Louisiana Addiction and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
National Provider Identifier
1396113106
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
00917746 Issued in LA
Legal business name
LOUISIANA ADDICTION AND WELLNESS LLC
Practice address
11505 Perkins Rd
Building 1
Baton Rouge, LA 70810-9103
Phone
(225) 767-3200
Fax
(225) 767-6811
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Ms. Brandy Klingman
Title
Managing Owner
Phone
(225) 767-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 00917746 LA Primary

Addresses

Primary practice location

11505 Perkins Rd
Building 1
Baton Rouge, LA 70810-9103

Mailing address

11505 Perkins Rd
Building 1
Baton Rouge, LA 70810-9103
Phone (225) 767-3200

Other names 1

  • Lifeworks Psychiatry and Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

11505 Perkins Rd
Bldg 1
Baton Rouge, LA 70810
Phone (225) 767-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1396113106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 PERKINS RD",
            "address_2": "BUILDING 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708109103",
            "telephone_number": "225-767-3200",
            "fax_number": "225-767-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 PERKINS RD",
            "address_2": "BUILDING 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708109103",
            "telephone_number": "225-767-3200",
            "fax_number": "225-767-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA ADDICTION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "KLINGMAN",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "225-767-3200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "00917746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeworks Psychiatry and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 2015; 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.