MISS-LOU ADDICTION CLINIC - NPI 1205354974 - Case Manager/Care Coordinator in Jonesboro, LA

Q: What is Miss-Lou Addiction Clinic's NPI number?

The NPI number for Miss-Lou Addiction Clinic is 1205354974. It was assigned to this organization in the NPPES registry on September 1, 2017.

Q: What is Miss-Lou Addiction Clinic's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

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About Miss-lou Addiction Clinic NPPES

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

MISS-LOU ADDICTION CLINIC (NPI 1205354974) is a healthcare organization registered as a case manager/care coordinator in Jonesboro, Louisiana and active in the NPI registry since September 2017. The organization lists Mona Lisa Peterson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205354974

Entity TypeOrganization

Primary Taxonomy171M00000X

Legal Business NameMISS-LOU ADDICTION CLINIC

Location Address525 ALEXANDER STJonesboro, LA 71251-2001

Mailing Address1000 Chinaberry Dr Ste 903Bossier City, LA 71111-2455 · (318) 459-6795

Phone(601) 442-0270

Fax(888) 981-2815

Organization SubpartNo

Authorized OfficialMona Lisa PetersonExecutive Director · (601) 442-0270

Enumeration DateSeptember 1, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1205354974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 1112895 (MS)

525 ALEXANDER ST, Jonesboro, LA 71251

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Other Providers at the Same Location NPPES 20

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

TRAJA GOLSTON CSW

Social Worker