Active NPI
Selah Behavioral Health
- Marriage & Family Therapist
- Baker, LA
National Provider Identifier
1467122036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- SELAH BEHAVIORAL HEALTH
- Practice address
- 4051 Groom Rd
Baker, LA 70714-3566 - Phone
- (225) 324-8246
- NPI assigned
- Sep 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henrietta Spears, LMFT
- Title
- Owner/Manager
- Phone
- (225) 324-8246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
4051 Groom Rd
Baker, LA 70714-3566
Mailing address
PO Box 78338
Baton Rouge, LA 70837-8338
Phone (225) 324-8246
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631664000000",
"number": "1467122036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78338",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708378338",
"telephone_number": "225-324-8246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4051 GROOM RD",
"city": "BAKER",
"state": "LA",
"postal_code": "707143566",
"telephone_number": "225-324-8246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELAH BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "SPEARS",
"authorized_official_first_name": "HENRIETTA",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "225-324-8246",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baker, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.