DELTA RECOVERY PROGRAM
NPI 1639612476
Community/Behavioral Health in Lake Providence, LA

Active since November 28, 2016
411 SPARROW ST, LAKE PROVIDENCE, LA 71254(318) 559-3356(318) 559-2044 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About DELTA RECOVERY PROGRAM

This page provides the complete NPI Profile along with additional information for Delta Recovery Program, a provider established in Lake Providence, Louisiana operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1639612476 assigned on November 2016. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Delta Recovery Program. The authorized official of this NPI record is Ms. Elisha Y Lucas Ma, Substance Abuse (Director)

NPI
1639612476 Verify this NPI
Provider Legal Name
DELTA COMMUNITY ENHANCEMENT PROGRAM
Other Organization Name
DELTA RECOVERY PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
411 SPARROW ST LAKE PROVIDENCE, LA 71254
Location Phone
(318) 559-3356
Location Fax
(318) 559-2044
Mailing Address
PO BOX 88 LAKE PROVIDENCE, LA 71254
Mailing Phone
(318) 559-3356
Mailing Fax
(318) 559-2044
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2016
Last Update Date
11-28-2016
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ELISHA Y LUCAS MA, SUBSTANCE ABUSE

Authorized Official Title
DIRECTOR
Authorized Official Phone
(318) 559-3356

Reviews for DELTA RECOVERY PROGRAM

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
411 SPARROW ST
LAKE PROVIDENCE, LA 71254
Community/Behavioral Health
411 SPARROW ST
LAKE PROVIDENCE, LA 71254
Counselor (Mental Health)
411 SPARROW ST
LAKE PROVIDENCE, LA 71254
Counselor (Mental Health)
411 SPARROW ST
LAKE PROVIDENCE, LA 71254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639612476, enumerated as an "organization" on November 28, 2016.

The provider is located at 411 SPARROW ST LAKE PROVIDENCE, LA 71254 and the phone number is (318) 559-3356.

Community/Behavioral Health with taxonomy code 251S00000X.