Provider Demographics
NPI:1972339588
Name:THE RESOURCE CENTER LA
Entity type:Organization
Organization Name:THE RESOURCE CENTER LA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:225-305-7120
Mailing Address - Street 1:20103 OLD SCENIC HWY STE 7A
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-7386
Mailing Address - Country:US
Mailing Address - Phone:225-305-7120
Mailing Address - Fax:
Practice Address - Street 1:20103 OLD SCENIC HWY STE 7A
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7386
Practice Address - Country:US
Practice Address - Phone:225-305-7120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)