Organization
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
Active
Other names
ImCal BH Beauregard, Imperial Calcasieu HSA Behavioral Health Beauregard
Organization subpart
No
Provider details
NPI number
Authorized official
NIKYIA BROWN (CREDENTIALING SPEC.)
(337) 475-3100
Entity
Organization
Contact information
Practice address
106 W PORT ST, DERIDDER, LA 70634-4040
(337) 462-1641
(337) 462-1354
Mailing address
4105 KIRKMAN ST STE B, LAKE CHARLES, LA 70607-4603
(337) 475-3100
(337) 475-3105
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
80
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750069
—
LA
Enumeration date
02/01/2007
Last updated
12/12/2025
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