Provider Demographics
NPI:1730104654
Name:CAPITAL AREA HUMAN SERVICES DISTRICT
Entity type:Organization
Organization Name:CAPITAL AREA HUMAN SERVICES DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANZLEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGHINGHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW-BACS, LAC
Authorized Official - Phone:225-922-2700
Mailing Address - Street 1:PO BOX 66558
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70896-6558
Mailing Address - Country:US
Mailing Address - Phone:225-922-2700
Mailing Address - Fax:225-362-5319
Practice Address - Street 1:1056 E WORTHY ST STE B
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4369
Practice Address - Country:US
Practice Address - Phone:225-621-5770
Practice Address - Fax:833-606-6429
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL AREA HUMAN SERVICES DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-13
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1541851Medicaid
LA5DL59Medicare PIN