NPIMap

Organization Active NPI

Exodus Behavioral Health Center LLC

  • Community/Behavioral Health Agency
  • Newellton, LA
National Provider Identifier
1114178092
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXODUS BEHAVIORAL HEALTH CENTER LLC
Practice address
118 Hwy 605
Newellton, LA 71357
Phone
(225) 223-2235
Fax
(318) 757-3907
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mr. Terry L Wells, MHS
Title
Program Manager
Phone
(225) 223-2235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

118 Hwy 605
Newellton, LA 71357

Mailing address

118 Hwy 605
Newellton, LA 71357
Phone (225) 223-2235

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1114178092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HWY 605",
            "city": "NEWELLTON",
            "state": "LA",
            "postal_code": "71357",
            "telephone_number": "225-223-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HWY 605",
            "city": "NEWELLTON",
            "state": "LA",
            "postal_code": "71357",
            "telephone_number": "225-223-2235",
            "fax_number": "318-757-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "225-223-2235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newellton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.