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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