# DEPARTMENT OF HEALTH AND HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lafayette Addictive Disorders Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750345799
- **Authorized official:** MRS. JOYCE M BEN LCSW-BACS (OAD REGIONAL ADMINISTRATOR)
- **Authorized official phone:** (337) 262-5870

## Contact information

- **Practice address:** 302 DULLES DRIVE, SUITE 1, LAFAYETTE, LA 70506-3008
- **Practice address phone:** (337) 262-5870
- **Practice address fax:** (337) 262-1272
- **Mailing address:** 302 DULLES DRIVE, SUITE 1, LAFAYETTE, LA 70506-3008
- **Mailing address phone:** (337) 262-5870
- **Mailing address fax:** (337) 262-1272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 005 | LA | Yes |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 08/22/2020