Lake Charles Behavioral Health Clinic

LBN: Imperial Calcasieu Human Services Authority
Lake Charles Behavioral Health Clinic is an health care organization with primary practice located at 4105 Kirkman St , Lake Charles LA 70607-4603. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Imperial Calcasieu Human Services Authority can be contacted via phone (337) 475-8022, or through Thomas, Angela Michele via phone (337) 475-8701.

Contact Information

Primary practice address
4105 Kirkman St Lake Charles LA 70607-4603
Phone: (337) 475-8022
Fax: (337) 475-8054
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Angela Michele NRHCMC
Phone: (337) 475-8701

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 95 Louisiana
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 95 Louisiana

Profile Details

NPI number 1952449118
LBN Legal business name Imperial Calcasieu Human Services Authority
DBA Doing business as Lake Charles Behavioral Health Clinic
Authorized official Thomas, Angela Michele NRHCMC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 28th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952449118 NPPES
Louisiana MEDICAID 1710041

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