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Organization
LA PAZ, LLC
Active
Organization
LA PAZ, LLC
Active
Other names
LaPaz LLC, La Paz, LLC, LaPaz LLC, La Paz ,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAKYSHA STARKS- SAMPSON (EXECUTIVE DIRECTOR)
(318) 224-9200
Entity
Organization
Contact information
Practice address
1404 S. VIENNA ST, RUSTON, LA 71270
(318) 224-9200
(318) 224-9201
Mailing address
1404 S VIENNA ST, RUSTON, LA 71270-6428
(318) 224-9200
(318) 224-9201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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