L & a Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

L & A MENTAL HEALTH LLC

Practice address

8055 Captain Mary Miller Dr
Shreveport, LA 71115-2948

Phone

(318) 540-9054

Fax

(318) 795-8186

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Stancy Tomekio Coleman, APRN, PMHNPNPI 1265024517

Title

Psychiatric Nurse Practitioner

Phone

(318) 540-9054

Specialties & licenses 1

Addresses

Other names 1

• L&A Behavioral Health Services LLC Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stancy Tomekio Coleman, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1265024517

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1023787124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 CAPTAIN MARY MILLER DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152948",
            "telephone_number": "318-540-9054",
            "fax_number": "318-795-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 CAPTAIN MARY MILLER DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152948",
            "telephone_number": "318-540-9054",
            "fax_number": "318-795-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & A MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "STANCY",
        "authorized_official_middle_name": "TOMEKIO",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "318-540-9054",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L&A Behavioral Health Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.