Department of Health & Hospital

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

115 Issued in LA

Legal business name

DEPARTMENT OF HEALTH & HOSPITAL

Practice address

1310 North Hearne Avenue
Shreveport, LA 71107

Phone

(318) 632-2040

Fax

(318) 632-2073

NPI assigned

Apr 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Allie D. Allen

Title

Administrative Program Manager

Phone

(318) 676-5111

Specialties & licenses 1

Addresses

Other names 1

• Shreveport Behavioral Health Clinic Former legal business name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Department of Health and Hospitals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1023162096

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1023075017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7904",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71107",
            "telephone_number": "318-676-5111",
            "fax_number": "318-676-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NORTH HEARNE AVENUE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71107",
            "telephone_number": "318-632-2040",
            "fax_number": "318-632-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH & HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATIVE PROGRAM MANAGER",
        "authorized_official_telephone_number": "318-676-5111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shreveport Behavioral Health Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Natashia Dennis
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• Stephanie Dennison
• Ebony Dent
• Dental Health Clinic, Inc.
• Department of Health & Hospitals
• Department of Health & Hospitals
• Department of Health and Hospitals
• Department of Health and Hospitals
• Dependable Care Services

• All providers in Shreveport, LA
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.