# LOUISIANA ADVANCED BEHAVIORAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134507205
- **Authorized official:** MR. LLOYD JOSEPH BOUDLOCHE JR. (CO-OWNER)
- **Authorized official phone:** (318) 376-4425

## Contact information

- **Practice address:** 805 STUBBS AVE STE C, MONROE, LA 71201-5579
- **Practice address phone:** (318) 600-6640
- **Mailing address:** PO BOX 13102, RUSTON, LA 71273-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 05/11/2015