Elmwood Behavioral Health LLC

Primary specialty

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

Legal business name

ELMWOOD BEHAVIORAL HEALTH LLC

Practice address

190 Hickory Ave Ste 8
Harahan, LA 70123-4069

Phone

(504) 313-4215

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Heidi Holmes, LPCNPI 1679966139

Title

Owner

Phone

(504) 450-9756

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elmwood Behavioral Health LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Holmes, MA, LPC, BT, RLT

  • Counselor
  • Harahan, LA
  • NPI 1679966139
  NPD Authorized official

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1164082046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 OAK AVE",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701234039",
            "telephone_number": "504-450-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HICKORY AVE STE 8",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701234069",
            "telephone_number": "504-313-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-450-9756",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER FOR HEIDI HOLMES LPC",
            "identifier": "1679966139",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryann Nicole Dykes, CSW
• Chris Dysart, DPT
• Eckerd Youth Alternatives, Inc. Dba Eckerd Connects
• Ehs Corp.
• Charles Elliott
• Fabacher Health, LLC
• Donald Wiltz Fabacher Jr., M. D.
• Paige Fairchild
• Families Helping Families of Jefferson
• Valerie Kilgore Faneca

• All providers in Harahan, LA
• 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 Jun 13, 2019; 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.