Organization Active NPI

Release to Restore, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1982007597
Registry record updated Sep 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5070 Issued in LA
Legal business name
RELEASE TO RESTORE, LLC
Practice address
717 S Foster Dr
Ste. 130
Baton Rouge, LA 70806-5943
Phone
(225) 317-9383
Fax
(225) 341-1217
NPI assigned
Sep 27, 2014
Last updated
Sep 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2014

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

Authorized official

Name
Shawanda Benton
Title
LPC
Phone
(225) 317-9383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5070 LA Primary

Addresses

Primary practice location

717 S Foster Dr
Ste. 130
Baton Rouge, LA 70806-5943

Mailing address

PO Box 65262
Baton Rouge, LA 70896-5262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411776000000",
    "number": "1982007597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65262",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708965262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S FOSTER DR",
            "address_2": "STE. 130",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065943",
            "telephone_number": "225-317-9383",
            "fax_number": "225-341-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELEASE TO RESTORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-27",
        "last_updated": "2014-09-27",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "225-317-9383"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 27, 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.