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Self-ish, Llc
Community/Behavioral Health Agency in Lake Charles, Louisiana
NPI 1730843012

Self-ish, Llc is a Community/Behavioral Health Agency based in Lake Charles, LA. Self-ish, Llc practices in Lake Charles, LA. The NPI Number for Self-ish, Llc is 1730843012 and holds a License No. (Louisiana).

The current practice location address for Self-ish, Llc is 4310 Ryan St Ste 134, Lake Charles, LA and can be reached out via phone at 337-873-1203. You can also correspond with Self-ish, Llc through the mailing address at 4310 RYAN ST STE 134, LAKE CHARLES, LA - 70605-4514 (mailing address contact number: 337-873-1203).

Location: 4310 Ryan St Ste 134, Lake Charles, LA, 70605-4514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730843012
Provider Name
Self-ish, Llc
Credential
Provider Entity Type
Organization
Address
4310 Ryan St Ste 134, Lake Charles, LA, 70605-4514
Phone Number
337-873-1203
Fax Number
Provider Enumeration Date
10/24/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4310 Ryan St Ste 134
City
Lake Charles
State
Louisiana
Zip
70605-4514
Phone Number
337-873-1203
Fax Number
person
Provider Business Mailing Address Details
Address
4310 Ryan St Ste 134
City
Lake Charles
State
Louisiana
Zip
70605-4514
Phone Number
337-873-1203
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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.
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