SOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC
NPI 1700151263
Community/Behavioral Health in Lake Charles, LA

Q: What is Southwest Louisiana Independence Center, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 16, 2012

4320 LAKE ST, LAKE CHARLES, LA 70605(337) 477-7194(337) 477-7198 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southwest Louisiana Independence Center, Inc NPPES

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

SOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC (NPI 1700151263) is a healthcare organization registered as a community/behavioral health in Lake Charles, Louisiana and active in the NPI registry since March 2012. The organization lists Randy Dartez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1700151263

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC

Location Address4320 LAKE STLake Charles, LA 70605-4310

Mailing Address4320 Lake StLake Charles, LA 70605-4310 · (337) 477-7194 · Fax (337) 477-7198

Phone(337) 477-7194

Fax(337) 477-7198

Organization SubpartNo

Authorized OfficialRandy DartezExecutive Director · (337) 477-7194

Enumeration DateMarch 16, 2012

Last NPPES UpdateSeptember 6, 2023

NPPES CertifiedSeptember 6, 2023

✔ NPI 1700151263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in LA · 1156

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4320 LAKE ST, Lake Charles, LA 70605

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Other Identifiers 1

Medicaid2162187LA

Other Providers at the Same Location NPPES 6

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

SOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC

In Home Supportive Care