Department of Health and Hospitals

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

292 Issued in LA

Legal business name

DEPARTMENT OF HEALTH AND HOSPITALS

Practice address

611 W Admiral Doyle Dr
New Iberia, LA 70560-6408

Phone

(337) 373-0002

Fax

(337) 373-0129

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Leger, CFO

Title

Chief Financial Officer

Phone

(337) 262-4189

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Iberia Addictive Disorders Clinic Doing business as

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1144260464",
    "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": "705606408",
            "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": "705606408",
            "telephone_number": "337-373-0002",
            "fax_number": "337-373-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "LEGER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "337-262-4189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "246843",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Iberia Addictive Disorders Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jada Renee Delahoussaye
• Kristi Sirran Delahoussaye, LCSW
• Nicole Ashley Delahoussaye, LCSW
• Damian Joseph Delhomme, MD
• Department of Health and Hospitals
• Dependable Medical Supply
• Gabrielle Elise Derise, DC
• Mark Steve Derouen, D.D.S.
• Jarnesha Derouselle
• Joan Roselyn Desselle, RPH

• Addiction (Substance Use Disorder) Counselor in New Iberia, LA
• Providers in New Iberia, 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 28, 2014; 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.