NPIMap

Organization Active NPI

Immanuels Healing Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
National Provider Identifier
1043472608
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IMMANUELS HEALING CENTER
Practice address
2404 Ferrand St Ste 23
Monroe, LA 71201-3233
Phone
(318) 323-0463
Fax
(318) 323-0465
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Kelvin HorneNPI 1164893814
Title
Owner
Phone
(318) 323-0463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2404 Ferrand St Ste 23
Monroe, LA 71201-3233

Mailing address

2404 Ferrand Street
Suite 23
Monroe, LA 71201
Phone (318) 323-0463

National Provider Directory

National Provider Directory

Locations

2404 Ferrand St
Ste 23
Monroe, LA 71201
Phone (318) 323-0463

Practitioners & affiliated clinicians

Practitioners 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1043472608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 FERRAND STREET",
            "address_2": "SUITE 23",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-323-0463",
            "fax_number": "318-323-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 FERRAND ST STE 23",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013233",
            "telephone_number": "318-323-0463",
            "fax_number": "318-323-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUELS HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-323-0463"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Jul 7, 2023; 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.