Louisiana Industries for the Disabled, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

AC2104 Issued in LA

Legal business name

LOUISIANA INDUSTRIES FOR THE DISABLED, INC.

Practice address

855 Saint Ferdinand St
Baton Rouge, LA 70802-6453

Phone

(225) 336-0000

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Daryel Prust

Title

Executive Director

Phone

(225) 928-1400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristi Bourgeois

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1831643311
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1609142033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 BEAUMONT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061410",
            "telephone_number": "225-928-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SAINT FERDINAND ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708026453",
            "telephone_number": "225-336-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA INDUSTRIES FOR THE DISABLED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "PRUST",
        "authorized_official_first_name": "DARYEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-928-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "AC2104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 29, 2012; 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.