LA Baton Rouge 511002 – Community/Behavioral Health Agency, NPI 1104067255

LA Baton Rouge 511002 is a healthcare provider. based in Windsor, Connecticut. specializing in Community/Behavioral Health Agency. The NPI Number for LA Baton Rouge 511002 is 1104067255

Main info

Organization
Name
LA Baton Rouge 511002
NPI
1104067255
Phone
(860) 539-7745
Address
175 ADDISON RD STE 3
Authorized Official
MR. NATHAN RUSSELL PROVOST CONTROLLER CPA
Enumeration Date
19 March 2009
Last Update Date
1 November 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for LA Baton Rouge 511002

  • 175 ADDISON RD STE 3

    WINDSOR, CT 060952179

    Phone: (860) 539-7745

    Fax: (860) 285-0263

    Type: Mailing

  • 4, Griffin Road North, Windsor, Hartford County, Connecticut, 06095, United States

    SUITE 100B

    WINDSOR, CT 060951511

    Phone: (860) 683-7100

    Fax: (860) 285-0263

    Type: Mailing

  • 9467, Brookline Avenue, Independence Place, Baton Rouge, East Baton Rouge Parish, Louisiana, 70809, United States

    BATON ROUGE, LA 708091429

    Phone: (225) 925-9780

    Fax: (225) 925-8788

    Type: Location

  • 340 W NEWBERRY RD STE B

    BLOOMFIELD, CT 060021393

    Phone: (860) 539-7745

    Fax: (860) 285-0263

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06095)

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Reviews

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Frequently asked questions

What federal number belongs to LA Baton Rouge 511002?
The federal identifier for LA Baton Rouge 511002 is NPI 1104067255.
Is LA Baton Rouge 511002's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does LA Baton Rouge 511002 treat or focus on?
Patients typically see LA Baton Rouge 511002 under the specialty Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Where is LA Baton Rouge 511002's primary listing?
We display Windsor, Connecticut because that is what the record indicates for LA Baton Rouge 511002.
What if Windsor, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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