Individual provider Active NPI

Lala Daniel George

  • Psychiatric/Mental Health Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1104504737
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1113512 Issued in TX
Practice address
128 Ridgedale Dr
West Monroe, LA 71291-2017
Phone
(318) 508-1728
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 865061 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1113512 TX Primary

Addresses

Primary practice location

128 Ridgedale Dr
West Monroe, LA 71291-2017

Mailing address

128 Ridgedale Dr
West Monroe, LA 71291-2017

Other practice location 1

4402 Sterlington Rd
Monroe, LA 71203-2338
Phone (318) 508-1728

Other practice location 2

2601 Dimmitt Rd Ste 400
Plainview, TX 79072-1833
Phone (806) 296-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019000951 TX Practitioner - Nurse Practitioner 7113373614 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
865061TXMDPsychiatric/Mental Health Registered Nurse
1113512TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Aug 1, 2023 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Health and Human Services Commission CurrentSince Aug 1, 2023 Accepting new patients
Allegiance Behavioral Health Center of Plainview, LLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

902 Airport Rd
Corpus Christi, TX 78405
Phone (361) 844-7651

2601 Dimmitt Rd
Ste 400
Plainview, TX 79072
Phone (806) 296-9191

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1104504737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 RIDGEDALE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 RIDGEDALE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912017",
            "telephone_number": "318-508-1728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Sterlington Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712032338",
            "country_code": "US",
            "telephone_number": "318-508-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Dimmitt Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "TX",
            "postal_code": "790721833",
            "country_code": "US",
            "telephone_number": "806-296-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LALA",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "865061",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1113512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.