COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
NPI 1699955815
Substance Abuse Rehabilitation Facility in Shreveport, LA

Active since November 05, 2007
2000 FAIRFIELD AVENUE, SHREVEPORT, LA 71104(318) 222-8511(318) 212-5565 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 11, 2024, Jan 12, 2023, May 23, 2018 (3 updates tracked since 2018).

About Council On Alcoholism And Drug Abuse Of Northwest Louisiana NPPES

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

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA (NPI 1699955815) is a healthcare organization registered as a substance abuse rehabilitation facility in Shreveport, Louisiana and active in the NPI registry since November 2007. The organization maintains 2 additional practice locations and lists Janet Miller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699955815
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCOUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Location Address2000 FAIRFIELD AVENUEShreveport, LA 71104
Mailing Address2000 Fairfield AvenueShreveport, LA 71104 · (318) 222-8511 · Fax (318) 212-5565
Fax(318) 212-5565
Organization SubpartNo
Authorized OfficialJanet MillerExecutive Director · (318) 222-8511
Enumeration DateNovember 5, 2007
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1699955815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in LA · 238
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2000 FAIRFIELD AVENUE, Shreveport, LA 71104

Secondary Practice Locations 2

Location 11525 Fullilove DrBossier City, LA 71112-3346 · Phone (318) 747-1211 · Fax (318) 747-3211
Location 2527 Crockett StShreveport, LA 71101-3601 · Phone (318) 222-8511 ext. 1110 · Fax (318) 425-9670

Other Identifiers 4

Other1891152328LA · Clinic Npi
Other1902643455LA · Clinic Npi
Medicaid3571471LA
Medicaid3571455LA

Accepted Insurance

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVENUE
SHREVEPORT, LA 71104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699955815, enumerated as an "organization" on November 05, 2007.

The provider is located at 2000 FAIRFIELD AVENUE SHREVEPORT, LA 71104 and the phone number is (318) 222-8511.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.