La Paz, LLC
Case Management in Ruston, LA. Organization (NPI-2).
NPI number1073015574
StatusActive
Last updated in NPPESJul 3, 2025
Details
- NPI
- 1073015574
- Entity type
- Organization (NPI-2)
- Legal business name
- La Paz, LLC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2018
- Certification date
- Jul 3, 2025
- Last updated
- Jul 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QR0800X | Clinic/Center, Recovery Care | – | – |
Practice location
910 S Vienna St Ste 7Ruston, LA 71270-5864
Phone 318-278-0309
Mailing address
910 S Vienna St Ste 7Ruston, LA 71270-5864
Phone 318-224-9200 · Fax 318-224-9201
Authorized official
Lakysha Starks-Sampson
Owner
3182249200
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