The Serenity Center of Louisiana, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2203782149 Issued in LA

Legal business name

THE SERENITY CENTER OF LOUISIANA, LLC

Doing business as

Serenity Clinic of LA

Practice address

2325 Weymouth Dr
Baton Rouge, LA 70809-1481

Phone

(225) 361-0899

Fax

(225) 367-1421

NPI assigned

Oct 31, 2014

Last updated

Nov 6, 2014By 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

Mrs. Mary L Talbert

Title

Credentialling Specialist

Phone

(337) 855-9023

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serenity Clinic of LA Doing business as

Tax ID family

Serenity Clinic of la2 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.

• The Serenity Center of Louisiana

  • Substance Abuse Rehabilitation Facility
  • Baton Rouge, LA
  • NPI 1851719009
  NPD tax ID

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1679978761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 WEYMOUTH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091481",
            "telephone_number": "225-361-0899",
            "fax_number": "225-367-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 WEYMOUTH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091481",
            "telephone_number": "225-361-0899",
            "fax_number": "225-367-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SERENITY CENTER OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALLING SPECIALIST",
        "authorized_official_telephone_number": "337-855-9023",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "2203782149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Clinic of LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.