NPIMap

Organization Active NPI

Divine Touch Behavioral Health Center LLC

  • Community/Behavioral Health Agency
  • Monroe, LA
National Provider Identifier
1033598784
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVINE TOUCH BEHAVIORAL HEALTH CENTER LLC
Practice address
804 N 31St St
Suite B
Monroe, LA 71201-3945
Phone
(318) 807-4058
Fax
(318) 807-4057
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Haronya Aleisha Bates-Conway
Title
Executive Director
Phone
(318) 372-7589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

804 N 31St St
Suite B
Monroe, LA 71201-3945

Mailing address

804 N 31St St
Suite B
Monroe, LA 71201-3945
Phone (318) 807-4058

National Provider Directory

National Provider Directory

Locations

804 N 31st St
Ste B
Monroe, LA 71201
Phone (318) 807-4058

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1033598784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N 31ST ST",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013945",
            "telephone_number": "318-807-4058",
            "fax_number": "318-807-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N 31ST ST",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013945",
            "telephone_number": "318-807-4058",
            "fax_number": "318-807-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TOUCH BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BATES-CONWAY",
        "authorized_official_first_name": "HARONYA",
        "authorized_official_middle_name": "ALEISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-372-7589"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.