Department of Health and Hospitals

Primary specialty

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

License

134 Issued in LA

Legal business name

DEPARTMENT OF HEALTH AND HOSPITALS

Practice address

611 W Admiral Doyle Dr
New Iberia, LA 70560-0000

Phone

(337) 373-0002

Fax

(337) 373-0129

NPI assigned

Jan 25, 2007

Organization subpart

Yes

Parent organization

DEPARTMENT OF HEALTH AND HOPSITALSAs reported in NPPES

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

Authorized official

Name

Mr. Yancey Mire, LPC

Title

Behavioral Health Manager

Phone

(337) 373-0002

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• New Iberia Mental Health Center Other name

Part of

Child Adolescent Mental

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1083760003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W ADMIRAL DOYLE DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705600000",
            "telephone_number": "337-373-0002",
            "fax_number": "337-373-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W ADMIRAL DOYLE DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705600000",
            "telephone_number": "337-373-0002",
            "fax_number": "337-373-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF HEALTH AND HOPSITALS",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "MIRE",
        "authorized_official_first_name": "YANCEY",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH MANAGER",
        "authorized_official_telephone_number": "337-373-0002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "292",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083760003",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710661",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Iberia Mental Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Delannie Nichole Delahoussaye
• Jada Renee Delahoussaye
• Kristi Sirran Delahoussaye, LCSW
• Nicole Ashley Delahoussaye, LCSW
• Damian Joseph Delhomme, MD
• Department of Health and Hospitals (New Iberia Addictive Disorders Clinic)
• Dependable Medical Supply
• Gabrielle Elise Derise, DC
• Mark Steve Derouen, D.D.S.
• Jarnesha Derouselle

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Iberia, LA
• Providers in New Iberia, 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 Oct 1, 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.