Department of Health & Hospitals

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

105 Issued in LA

Legal business name

DEPARTMENT OF HEALTH & HOSPITALS

Doing business as

Minden Behavioral Health Clinic

Practice address

435 Homer Road
Minden, LA 71055

Phone

(318) 371-3001

Fax

(318) 371-3300

NPI assigned

Jan 24, 2007

Last updated

Aug 2, 2013By the provider in NPPES

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

Dir. of Operations

Phone

(318) 676-5160

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Minden Behavioral Health Clinic Doing business as

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1073668547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HOMER ROAD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-371-3001",
            "fax_number": "318-371-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HOMER ROAD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-371-3001",
            "fax_number": "318-371-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH & HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIR. OF OPERATIONS",
        "authorized_official_telephone_number": "318-676-5160",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710644",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minden Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Marie Davis, LMSW
• Chrystal Nicole Davis, LMSW
• Lillian Leigh Berry Davis, APRN, FNP-C
• Tara Davis
• Depaetment of Health and Hospitals (Minden Behavioral Health Clinic)
• Department of Health and Hospital
• Jeremy David Derose, DDS
• Kathleen Elisabeth Deville, F.N.P.-C
• Manish Dhawan, MD
• Dialysis Clinic Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minden, LA
• Providers in Minden, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.