Louisiana Addiction Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

576 Issued in LA

Legal business name

LOUISIANA ADDICTION SERVICES, LLC

Doing business as

Denham Springs Addictive Disorders

Practice address

1295 Florida Ave SW
Denham Springs, LA 70726-4635

Phone

(225) 243-5573

Fax

(225) 243-6029

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By 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

Mr. David P Dickson, MA LAC CCS SAPNPI 1952588436

Title

Owner

Phone

(225) 243-5573

Specialties & licenses 1

Addresses

Other names 1

• Denham Springs Addictive Disorders Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P Dickson, LAC CCS

  • Addiction (Substance Use Disorder) Counselor
  • Denham Springs, LA
  • NPI 1952588436
  NPD (past) Authorized official
• Bridget Baker Dickson, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Denham Springs, LA
  • NPI 1053657742
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1992042634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 FLORIDA AVE SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264635",
            "telephone_number": "225-243-5573",
            "fax_number": "225-243-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 FLORIDA AVE SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264635",
            "telephone_number": "225-243-5573",
            "fax_number": "225-243-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA ADDICTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-243-5573",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA LAC CCS SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denham Springs Addictive Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.