JONESBORO BEHAVIORAL HEALTH CLINIC
NPI 1215074430
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ruston, LA
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About JONESBORO BEHAVIORAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Jonesboro Behavioral Health Clinic, a provider established in Ruston, Louisiana operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1215074430 assigned on January 2007. The practitioner's primary taxonomy code is 261QM0801X with license number 100 (LA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Jonesboro Behavioral Health Clinic. The authorized official of this NPI record is Mark Debord Lcsw (Regional Administrat)
- NPI
- 1215074430 Verify this NPI
- Provider Legal Name
- DEPARTMENT OF HEALTH AND HOSPITALS
- Other Organization Name
- JONESBORO BEHAVIORAL HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 602 E GEORGIA AVE RUSTON, LA 71270
- Location Phone
- (318) 251-4125
- Location Fax
- (318) 251-5000
- Mailing Address
- 2513 FERRAND ST MONROE, LA 71201
- Mailing Phone
- (318) 362-3270
- Mailing Fax
- (318) 362-3268
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-30-2007
- Last Update Date
- 07-23-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 100
- License State
- LA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710571 | MEDICAID (05) | LA | |
| 5B384 | MEDICARE PIN (08) | LA |
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
RUSTON, LA 71270
RUSTON, LA 71270
RUSTON, LA 71270
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215074430, enumerated as an "organization" on January 30, 2007.
The provider is located at 602 E GEORGIA AVE RUSTON, LA 71270 and the phone number is (318) 251-4125.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
