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

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: July 19, 2026.

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
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

Other Identifiers 1

Medicaid2162187LA

Reviews for SOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Urgent Care)
4320 LAKE ST
LAKE CHARLES, LA 70605
In Home Supportive Care
4320 LAKE ST
LAKE CHARLES, LA 70605
In Home Supportive Care
4320 LAKE ST
LAKE CHARLES, LA 70605
In Home Supportive Care
4320 LAKE ST
LAKE CHARLES, LA 70605
In Home Supportive Care
4320 LAKE ST
LAKE CHARLES, LA 70605
In Home Supportive Care
4320 LAKE ST
LAKE CHARLES, LA 70605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700151263, enumerated as an "organization" on March 16, 2012.

The provider is located at 4320 LAKE ST LAKE CHARLES, LA 70605 and the phone number is (337) 477-7194.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.