Holistic Behavioral Health Services of Louisiana

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA

Doing business as

Holistic Haven

Practice address

1640 S Columbia St
Bogalusa, LA 70427-5800

Phone

(985) 241-5284

Fax

(985) 317-1825

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Tommie Jerome DyerNPI 1902250392

Title

Ceo

Phone

(225) 371-2945

Specialties & licenses 1

Addresses

Other names 1

• Holistic Haven Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 19L009

Legal name

HOLISTIC HAVEN

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Feb 7, 2023

Last certification

Feb 7, 2023

Beds

32

Ownership / control type

Non-profit – corporation

Facility address

1640 South Columbia Street
Bogalusa, LA 70427

Tax ID family

Holistic Behavioral Health Service of Louisiana2 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.

• Holistic Behavioral Health Services of Louisiana

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1790236586
  NPD tax ID

Practitioners 2

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

• Tommie Dyer Jr.

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
  • NPI 1902250392
  NPD Authorized official
• Felecia S Nixon

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
  • NPI 1780183798
  NPD

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1962278762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275800",
            "telephone_number": "985-241-5284",
            "fax_number": "985-317-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275800",
            "telephone_number": "985-241-5284",
            "fax_number": "985-317-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "TOMMIE",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-371-2945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard P. Heflin, M.D.
• Karmynah Marie Wilnetta Helaire, MD, MPH
• Martha Ann Hersey, GSW
• Amy Michele Hillman, MSW, LCSW
• Sharon A Hoffman, M.D.
• Rebecca Gay Holmes, NP
• Stephen Ryan Honeycutt, PAC
• Judy K Hooks, LCSW
• Hossein Khazei Tabari LTD
• House of Love, LLC

• Psychiatric Residential Treatment Facility in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Psychiatric Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.