Life Enhancement Services of Louisiana Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE ENHANCEMENT SERVICES OF LOUISIANA INC

Practice address

3677 Florida Blvd
Baton Rouge, LA 70806-3843

Phone

(704) 516-6046

NPI assigned

Jun 12, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Herb A Gray III

Title

Ceo/Owner

Phone

(704) 560-4332

Specialties & licenses 1

Addresses

Tax ID family

Life Enhancement Services of Louisiana Inc2 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.

• Life Enhancement Services of Louisiana, Inc.

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1013178524
  NPD tax ID

Locations

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1548420524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S TRYON ST UNIT 1010",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023260",
            "telephone_number": "704-560-4332",
            "fax_number": "704-342-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063843",
            "telephone_number": "704-516-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HERB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "704-560-4332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Health Associates, LLC (Liberty Community Support Center)
• Liberty Healthcare Supply
• Liberty Medical Services LLC
• T Richard Lieux, MD
• Life Changing Counseling, LLC
• Life Fitness Therapy LLC
• Life P.R.E.S.S. Effect, LLC
• Life Renewal Counseling Services, LLC
• Life Source Services, LLC (Life Source Services Baton Rouge)
• Lifeline Medical Transportation LLC

• Community/Behavioral Health Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.