Organization
HOLISTIC BEHAVIORAL HEALTH SERVICES OF LOUISIANA
Active
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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