Organization
HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA
Active
Other names
Holistic Behavioral Health Service of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMIE JEROME DYER (CEO/OWNER)
(225) 371-2945
Entity
Organization
Contact information
Practice address
2156 WOODDALE BLVD STE 750, BATON ROUGE, LA 70806-1404
(225) 371-2945
(225) 930-8059
Mailing address
2156 WOODDALE BLVD STE 750, BATON ROUGE, LA 70806-1404
(225) 371-2945
(225) 930-8059
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
510417
LA
251S00000X
Community/Behavioral Health Agency
Primary
510417
LA
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
10/17/2016
Last updated
09/06/2023
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