Organization Active NPI

Release to Restore Behavioral Health Services

  • Counselor
  • Baton Rouge, LA
National Provider Identifier
1508345505
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
RELEASE TO RESTORE BEHAVIORAL HEALTH SERVICES
Practice address
12090 S Harrells Ferry Rd Ste D2
Baton Rouge, LA 70816-2470
Phone
(225) 317-9383
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Shawanda BentonNPI 1386047462
Title
Administrator
Phone
(225) 317-9383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

12090 S Harrells Ferry Rd Ste D2
Baton Rouge, LA 70816-2470

Mailing address

12090 S Harrells Ferry Rd Ste D2
Baton Rouge, LA 70816-2470

Other identifiers 1

IdentifierTypeStateIssuer
471603617OtherLAIRS

National Provider Directory

National Provider Directory

Locations

12090 S Harrells Ferry Rd
Ste D2
Baton Rouge, LA 70816
Phone (225) 317-9383

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": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1508345505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12090 S HARRELLS FERRY RD STE D2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12090 S HARRELLS FERRY RD STE D2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162470",
            "telephone_number": "225-317-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELEASE TO RESTORE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-317-9383"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "471603617",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 9, 2018; 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.