Provider Demographics
NPI:1285219949
Name:B3 COMMUNITY ALLIANCE
Entity type:Organization
Organization Name:B3 COMMUNITY ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC, AADC
Authorized Official - Phone:337-249-0536
Mailing Address - Street 1:6027 CANDICE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70615-4773
Mailing Address - Country:US
Mailing Address - Phone:337-520-0057
Mailing Address - Fax:
Practice Address - Street 1:6027 CANDICE LN
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70615-4773
Practice Address - Country:US
Practice Address - Phone:337-520-0057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty