NPIMap

Organization Active NPI

Free Indeed Intensive Outpatient Clinic

Doing business as Set Free Indeed, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1952594814
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
315 Issued in LA
Legal business name
FREE INDEED INTENSIVE OUTPATIENT CLINIC
Doing business as
Set Free Indeed, Inc.
Practice address
2414 Bunker Hill Dr Ste a
Baton Rouge, LA 70808-3303
Phone
(225) 924-1910
NPI assigned
Aug 23, 2007
Last updated
Aug 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Ms. Tonja R. Myles
Title
Ceo/President
Phone
(225) 924-1910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 315 LA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 315 LA Primary

Addresses

Primary practice location

2414 Bunker Hill Dr Ste a
Baton Rouge, LA 70808-3303

Mailing address

2414 Bunker Hill Dr Ste a
Baton Rouge, LA 70808-3303
Phone (225) 924-1910

Other names 1

  • Set Free Indeed, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Free Indeed Intensive Outpatient Clinic2 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.

Locations

2414 Bunker Hill Dr
Ste A
Baton Rouge, LA 70808

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1952594814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 BUNKER HILL DR STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083303",
            "telephone_number": "225-924-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 BUNKER HILL DR STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083303",
            "telephone_number": "225-924-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE INDEED INTENSIVE OUTPATIENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "MYLES",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "225-924-1910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "LA",
            "license": "315",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Set Free Indeed, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2007; 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.