1. Home
  2. Directory
  3. Louisiana
  4. Lake Charles
  5. Nursing Care
  6. NPI Profile

LAKE CHARLES BEHAVIORAL HEALTH CLINIC
NPI 1396024303
Nursing Care in Lake Charles, LA

Active since August 08, 2011
4105 KIRKMAN ST, LAKE CHARLES, LA 70607(337) 475-4930 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Charles Behavioral Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE CHARLES BEHAVIORAL HEALTH CLINIC (NPI 1396024303) is a healthcare organization registered as a nursing care in Lake Charles, Louisiana and active in the NPI registry since August 2011. The organization lists Loretta Tutson Cotlone, Lpn, as its authorized official.

NPPES Registry Identity

NPI1396024303
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameSTATE OF LA/DHH/OBH
Location Address4105 KIRKMAN STLake Charles, LA 70607-4603
Mailing Address4105 Kirkman StLake Charles, LA 70607-4603 · (337) 475-4930
Phone(337) 475-4930
Organization SubpartNo
Authorized OfficialLoretta Tutson CotloneLpn · (337) 475-4930
Enumeration DateAugust 8, 2011
✔ NPI 1396024303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in LA · 870077
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
4105 KIRKMAN ST, Lake Charles, LA 70607
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Charles Behavioral Health Clinic

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA TURNER CAC
Counselor (Addiction (Substance Use Disorder))
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
TANYA JANUARY RN
Registered Nurse
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
C. ELISKA WAGNON
Counselor (Mental Health)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
MRS. AMY ROSE FELICE RAC
Counselor (Addiction (Substance Use Disorder))
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
CAROLYN ANN DAVIS LPC, NCC, CCDP-D
Counselor (Professional)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
DIANE GAIL FRUGE RAC
Counselor (Addiction (Substance Use Disorder))
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-2088
MR. JEROME HOLLAND G.S.W.
Social Worker (Clinical)
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8022
MR. MARK SHANE ANDERSON RAC, CCDP, CCGC
Counselor (Addiction (Substance Use Disorder))
4105 KIRKMAN ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-8738

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of La/Dhh/Obh's NPI number?

The NPI number for State Of La/Dhh/Obh is 1396024303. It was assigned to this organization in the NPPES registry on August 8, 2011. The provider is doing business as Lake Charles Behavioral Health Clinic.

Where is State Of La/Dhh/Obh located?

State Of La/Dhh/Obh is located at 4105 Kirkman St, Lake Charles, LA 70607. The listed phone number is (337) 475-4930.

What is State Of La/Dhh/Obh's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for State Of La/Dhh/Obh was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.