BEHAVIORAL HEALTH CLINIC OF CENTRAL LA (AD) - NPI 1306800289

Q: What is Department Of Health And Hospitals's NPI number?

The NPI number for Department Of Health And Hospitals is 1306800289. It was assigned to this organization in the NPPES registry on April 17, 2006. The provider is doing business as Behavioral Health Clinic Of Central La (ad).

Q: What is Department Of Health And Hospitals's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

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About Behavioral Health Clinic Of Central La (ad) NPPES

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

BEHAVIORAL HEALTH CLINIC OF CENTRAL LA (AD) (NPI 1306800289) is a healthcare organization registered as an addiction medicine in Pineville, Louisiana and active in the NPI registry since April 2006. The organization lists John Egan Jones, Regional Administrator, as its authorized official.

NPPES Registry Identity

NPI1306800289

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameDEPARTMENT OF HEALTH AND HOSPITALS

Location Address242 WEST SHAMROCK, UNIT 1Pineville, LA 71360

Mailing AddressPo Box 7473Alexandria, LA 71306-7473 · (318) 488-6846 · Fax (318) 488-6844

Phone(318) 488-6846

Fax(318) 488-6844

Organization SubpartNo

Authorized OfficialJohn Egan JonesRegional Administrator · (318) 487-5191

Enumeration DateApril 17, 2006

Last NPPES UpdateJuly 28, 2011

✔ NPI 1306800289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in LA · MD 017125

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LAC 592 (LA), LAC # 904 (LA), LAC #713 (LA), RAC #1340 (LA), CAC #1330 (LA)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License RSW # 7478 (LA), LMSW #4870 (LA)

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License RN #055444 (LA)

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License LPN # 850513 (LA)

242 WEST SHAMROCK, Pineville, LA 71360

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Other Names 1

Doing Business AsBehavioral Health Clinic Of Central La (ad)

Other Identifiers 2

Medicare PIN5DL60LA

OtherG9759LA · Bluecross Blueshiled

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

Other Providers at the Same Location NPPES 12

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

MS. NADINE GASPARD

Counselor (Mental Health)