Organization
LOUISIANA HEALTH & REHABILITATION COPTIONS
Active
Other names
Louisiana Health & Rehabilitation Options
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOUNDRA JOHNSON TEMPLE (CHIEF EXECUTIVE OFFICER)
(225) 938-0661
Entity
Organization
Contact information
Practice address
930 WEBB ST, LAFAYETTE, LA 70501-3930
(337) 267-7375
(337) 269-5615
Mailing address
1033 N LOBDELL AVE, BATON ROUGE, LA 70806-2233
(225) 231-2490
(225) 231-2857
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PCA 11826
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1453773
—
LA
Enumeration date
05/04/2007
Last updated
08/22/2020
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