St. Landry Behavioral Health Services

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ST. LANDRY BEHAVIORAL HEALTH SERVICES

Practice address

175 Highway 743
Opelousas, LA 70570-0541

Phone

(337) 945-0979

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Bambi Polotzola

Title

Owner

Phone

(337) 566-3342

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1649680943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 HIGHWAY 743",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HIGHWAY 743",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700541",
            "telephone_number": "337-945-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LANDRY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "POLOTZOLA",
        "authorized_official_first_name": "BAMBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-566-3342"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Landry Emergency Group LLC
• St Landry EMS
• St Landry Pharmacy LLC
• Peyton M St Pierre, M.A., CCC-SLP
• St, Landry Radiology Associates, Apmc
• St. Landry Enterprises LLC
• St. Landry Extended Care Hospital, LLC
• St. Landry Parish Community Action Agency
• St. Landry Parish Community Action Agency
• St. Landry Parish Rural Health Network, Inc.

• Counselor in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.