Organization
ACADIAN HOLISTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSON (PROGRAM ADMINISTRATOR/OWNER)
(337) 707-3872
Entity
Organization
Contact information
Practice address
2829 4TH AVE STE 215, LAKE CHARLES, LA 70601-7887
(337) 707-3872
Mailing address
2829 4TH AVE # 215, LAKE CHARLES, LA 70601-7887
(337) 429-5105
(337) 888-9853
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
06/05/2023
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