TALLULAH BEHAVIORAL HEALTH CLINIC-MEDICAL
NPI 1417601394
Clinic/Center - Primary Care in Tallulah, LA

Active since February 09, 2022
1012 JOHNSON ST, TALLULAH, LA 71282(318) 574-1713(318) 574-2299 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Aug 31, 2022, Feb 21, 2022 and 1 more (4 updates tracked since 2022).

About Tallulah Behavioral Health Clinic-medical NPPES

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

TALLULAH BEHAVIORAL HEALTH CLINIC-MEDICAL (NPI 1417601394) is a healthcare organization registered as a primary care in Tallulah, Louisiana and active in the NPI registry since February 2022. The organization lists Octavia Green, Administrative Program Specialist B, as its authorized official.

NPPES Registry Identity

NPI1417601394
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTHEAST DELTA HUMAN SERVICES AUTHORITY
Location Address1012 JOHNSON STTallulah, LA 71282-5216
Mailing Address1012 Johnson StTallulah, LA 71282-5216 · (318) 574-1713 · Fax (318) 574-2299
Fax(318) 574-2299
Organization SubpartYes
Authorized OfficialOctavia GreenAdministrative Program Specialist B · (318) 362-3270
Enumeration DateFebruary 9, 2022
Last NPPES UpdateAugust 30, 20234 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1417601394 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
1012 JOHNSON ST, Tallulah, LA 71282

Other Names 1

Doing Business AsTallulah 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

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1012 JOHNSON ST
TALLULAH, LA 71282
Clinic/Center (Mental Health (Including Community Mental Health Center))
1012 JOHNSON ST
TALLULAH, LA 71282

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 Northeast Delta Human Services Authority's NPI number?

The NPI number for Northeast Delta Human Services Authority is 1417601394. It was assigned to this organization in the NPPES registry on February 9, 2022. The provider is doing business as Tallulah Behavioral Health Clinic-Medical.

Where is Northeast Delta Human Services Authority located?

Northeast Delta Human Services Authority is located at 1012 Johnson St, Tallulah, LA 71282. The listed phone number is (318) 574-1713.

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.

What insurance does Northeast Delta Human Services Authority accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Northeast Delta Human Services Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Delta Human Services Authority was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.