THERAPEUTIC MEDICAL & PSYCHIATRIC SERVICES LLC.
NPI 1750672390
Nurse Practitioner - Psychiatric/Mental Health in Monroe, LA

Active since May 01, 2011CLIA 19D2174925 · Waiver
1501 STUBBS AVE, MONROE, LA 71292(318) 396-9712(180) 051-8423 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Nov 21, 2024, Jul 7, 2021 and 2 more (5 updates tracked since 2020).

About Therapeutic Medical & Psychiatric Services Llc. NPPES

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

THERAPEUTIC MEDICAL & PSYCHIATRIC SERVICES LLC. (NPI 1750672390) is a healthcare organization registered as a psychiatric/mental health in Monroe, Louisiana and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Diane Privitor Privitor Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1750672390
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHERAPEUTIC MEDICAL & PSYCHIATRIC SERVICES LLC.
Location Address1501 STUBBS AVEMonroe, LA 71292-1106
Mailing Address200 Winterpark DrWest Monroe, LA 71292-1106 · (318) 396-9712 · Fax (180) 051-8423
Fax(180) 051-8423
Organization SubpartNo
Authorized OfficialDiane Privitor Privitor DavisOwner · (318) 816-5116
Enumeration DateMay 1, 2011
Last NPPES UpdateDecember 3, 20245 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1750672390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APO5002 (LA)
1501 STUBBS AVE, Monroe, LA 71292

Other Identifiers 1

Other0000000000000LA · Private Insurance

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2174925

Therapeutic Med/Psych Service LLC · Monroe, LA
Active · expires Nov 11, 2027
CLIA Number19D2174925
Laboratory TypePractitioner Other
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorDiane P. Davis
Laboratory Phone(318) 816-5116
Laboratory LocationTherapeutic Med/Psych Service LLC1501 Stubbs Avenue, Monroe, LA 71201
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Therapeutic Medical & Psychiatric Services LLC.'s NPI number?

The NPI number for Therapeutic Medical & Psychiatric Services LLC. is 1750672390. It was assigned to this organization in the NPPES registry on May 1, 2011.

Where is Therapeutic Medical & Psychiatric Services LLC. located?

Therapeutic Medical & Psychiatric Services LLC. is located at 1501 Stubbs Ave, Monroe, LA 71292. The listed phone number is (318) 396-9712.

What is Therapeutic Medical & Psychiatric Services LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Therapeutic Medical & Psychiatric Services LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2174925) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Therapeutic Medical & Psychiatric Services LLC. accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Therapeutic Medical & Psychiatric Services LLC. 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 Therapeutic Medical & Psychiatric Services LLC. was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.