Medication Assisted Treatment Centers LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MEDICATION ASSISTED TREATMENT CENTERS LLC

Doing business as

MEDICATION ASSISTED RECOVERY CENTERS LLC

Practice address

3030 Jackson St
Alexandria, LA 71301-4743

Phone

(318) 625-7111

Fax

(318) 625-7111

NPI assigned

Feb 10, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin K Cooper

Title

Manager

Phone

(318) 446-0231

Specialties & licenses 2

Addresses

Other names 1

• MEDICATION ASSISTED RECOVERY CENTERS LLC Doing business as

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518220800000",
    "number": "1134628654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13566",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713153566",
            "telephone_number": "318-446-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014743",
            "telephone_number": "318-625-7111",
            "fax_number": "318-625-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATION ASSISTED TREATMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-10",
        "last_updated": "2018-02-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-446-0231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICATION ASSISTED RECOVERY CENTERS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Alexandria, LA
• Providers in Alexandria, 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 Feb 10, 2018; 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.