Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southwest Louisiana Independence Center, Inc

Organization Community/Behavioral Health Agency · NPI 1164797627

Southwest Louisiana Independence Center, Inc is a Community/Behavioral Health Agency in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2012.

Licensed in
LA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

216A La Rue France
Lafayette, LA 70508-3104
Phone: (337) 269-0027
Fax: (337) 233-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 12803 (LA)

Record details

NPI number1164797627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Dartez — Executive Director · (337) 477-7194
NPI enumeratedMarch 16, 2012
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address4320 Lake St, Lake Charles, LA 70605-4310

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