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FPHSA
NPI 1104376342
Substance Abuse Rehabilitation Facility in Mandeville, LA

Active since October 12, 2016
23515 HIGHWAY 190, MANDEVILLE, LA 70448(985) 624-4100(985) 624-4123 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fphsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FPHSA (NPI 1104376342) is a healthcare organization registered as a substance abuse rehabilitation facility in Mandeville, Louisiana and active in the NPI registry since October 2016. The organization lists Nadine Faciane, Program Director, as its authorized official.

NPPES Registry Identity

NPI1104376342
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFPHSA
Location Address23515 HIGHWAY 190Mandeville, LA 70448-7334
Mailing AddressPo Box 37Mandeville, LA 70470-0037 · (985) 624-4100 · Fax (985) 624-4123
Phone(985) 624-4100
Fax(985) 624-4123
Organization SubpartNo
Authorized OfficialNadine FacianeProgram Director · (985) 624-4100
Enumeration DateOctober 12, 2016
✔ NPI 1104376342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in LA · 960733
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
23515 HIGHWAY 190, Mandeville, LA 70448
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRINA SLEPTSOVA LMSW
Counselor (Mental Health)
23515 HIGHWAY 190
MANDEVILLE, LA 70448
St. Tammany Parish (985) 626-6317
MS. DEBORAH A CARGILL
Substance Abuse Rehabilitation Facility
23515 HIGHWAY 190
MANDEVILLE, LA 70448
St. Tammany Parish (985) 624-4100
PATRICIA SOTEROPULOS
Registered Nurse (Psychiatric/Mental Health)
23515 HIGHWAY 190
MANDEVILLE, LA 70448
St. Tammany Parish (985) 624-4100
AMY JO GRIFFIN LPN
Licensed Practical Nurse
23515 HIGHWAY 190
MANDEVILLE, LA 70448
St. Tammany Parish (985) 624-4100
MRS. ANGELA ROCHELLE CHANDLER
Peer Specialist
23515 HIGHWAY 190
MANDEVILLE, LA 70448
St. Tammany Parish (985) 624-4100
CELESTE WALTHER-MORAN LCSW
Social Worker (Clinical)
23515 HIGHWAY 190
MANDEVILLE, LA 70448
St. Tammany Parish (985) 626-6300
MR. BRADLEY WAYNE ADAMS SR.
Substance Abuse Rehabilitation Facility
23515 HIGHWAY 190
MANDEVILLE, LA 70448
St. Tammany Parish (985) 624-4100
APRIL WASHINGTON LPN
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
23515 HIGHWAY 190
MANDEVILLE, LA 70448
St. Tammany Parish (985) 624-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fphsa's NPI number?

The NPI number for Fphsa is 1104376342. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is Fphsa located?

Fphsa is located at 23515 Highway 190, Mandeville, LA 70448. The listed phone number is (985) 624-4100.

What is Fphsa's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Fphsa was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.