Department of Health and Hospitals

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

015 Issued in LA

Legal business name

DEPARTMENT OF HEALTH AND HOSPITALS

Practice address

4800 S Grand St
Monroe, LA 71202-6412

Phone

(318) 362-3339

Fax

(318) 362-3336

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Debord, LCSW

Title

Obh Regional Administrator

Phone

(318) 362-3270

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monroe Behavioral Health Clinic Doing business as

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1083679955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026412",
            "telephone_number": "318-362-3339",
            "fax_number": "318-362-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026412",
            "telephone_number": "318-362-3339",
            "fax_number": "318-362-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OBH REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "318-362-3270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSLA",
            "identifier": "B6214",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janese Dennis
• Kylie Dennis
• Mary J Dennis, BSW MPA MCJ
• Sreekanth R Depa, M.D.
• Department of Health & Hospitals
• Department of Health and Hospitals
• Derrick Hoard
• Tejash Desai
• Heather Nicole Deshazo, ACNPC-AG
• Desirae Nicole Nutrition LLC

• Addiction (Substance Use Disorder) Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.