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Organization
LA PAZ, LLC
Active
Organization
LA PAZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKYSHA STARKS-SAMPSON MPA (OWNER)
(318) 224-9200
Entity
Organization
Contact information
Practice address
910 S VIENNA ST STE 7, RUSTON, LA 71270-5864
(318) 278-0309
Mailing address
910 S VIENNA ST STE 7, RUSTON, LA 71270-5864
(318) 224-9200
(318) 224-9201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QR0800X
Recovery Care Clinic/Center
—
NULL
Other
Enumeration date
03/01/2018
Last updated
07/03/2025
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