NORTHEAST DELTA HUMAN SERVICES AUTHORITY
NPI 1225782196
Clinic/Center - Primary Care in Bastrop, LA

Q: What is Northeast Delta Human Services Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 09, 2022

451 E MADISON AVE, BASTROP, LA 71220(318) 283-0868(318) 556-7090 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2025, Aug 30, 2023, Sep 6, 2022 and 2 more (5 updates tracked since 2022).

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About Northeast Delta Human Services Authority NPPES

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

NORTHEAST DELTA HUMAN SERVICES AUTHORITY (NPI 1225782196), doing business as Bastrop Behavioral Health Clinic - Medical, is a healthcare organization registered as a primary care in Bastrop, Louisiana and active in the NPI registry since February 2022. The organization lists Octavia Green, Administrative Program Manager, as its authorized official.

NPPES Registry Identity

NPI1225782196

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameNORTHEAST DELTA HUMAN SERVICES AUTHORITY

Location Address451 E MADISON AVEBastrop, LA 71220-3829

Mailing Address450 E Pine StreetBastrop, LA 71220-3840 · (318) 283-0868 · Fax (318) 283-0875

Phone(318) 283-0868

Fax(318) 556-7090

Organization SubpartYes

Authorized OfficialOctavia GreenAdministrative Program Manager · (318) 362-3270

Enumeration DateFebruary 9, 2022

Last NPPES UpdateJune 4, 20255 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1225782196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

451 E MADISON AVE, Bastrop, LA 71220

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Other Names 1

Doing Business AsBastrop Behavioral Health Clinic - Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Other Providers at the Same Location NPPES 5

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

ALINE I JENKINS

Registered Nurse