# BEHAVIORAL SERVICES OF LOUISIANA

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

## Provider details

- **NPI number:** 1790315158
- **Authorized official:** DIANCA FOBB (PSS)
- **Authorized official phone:** (504) 296-4802

## Contact information

- **Practice address:** 8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
- **Practice address phone:** (504) 296-8602
- **Mailing address:** 320 E 26TH ST, RESERVE, LA 70084-5121
- **Mailing address phone:** (504) 296-4802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 01/24/2020
