Street Smart Recovery Llc

LBN: Street Smart Recovery Llc
Street Smart Recovery Llc is an health care organization with primary practice located at 11606 Southfork Ave , Baton Rouge LA 70816-5235. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Street Smart Recovery Llc can be contacted via phone (225) 439-7255, or through Raybon, Jeff via phone (225) 439-7255.

Contact Information

Primary practice address
11606 Southfork Ave Baton Rouge LA 70816-5235
Phone: (225) 439-7255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raybon, Jeff
Phone: (225) 439-7255

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1518509579
LBN Legal business name Street Smart Recovery Llc
DBA Doing business as
Authorized official Raybon, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2019
Last updated Oct 11th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518509579 NPPES
Louisiana Other 101YA0400X TAXONOMY

Popular Providers