NPIMap

Organization Active NPI

Southeast Louisiana Social Service Solutions, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gray, LA
National Provider Identifier
1194130237
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOUTHEAST LOUISIANA SOCIAL SERVICE SOLUTIONS, LLC
Practice address
4266 W Main St Ste 100
Gray, LA 70359-6421
Phone
(985) 856-7893
Fax
(985) 346-6944
NPI assigned
Jun 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Pamela Dupont, NP
Title
Owner
Phone
(985) 856-7893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4266 W Main St Ste 100
Gray, LA 70359-6421

Mailing address

4266 W Main St Ste 100
Gray, LA 70359-6421
Phone (985) 856-7893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1194130237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 W MAIN ST STE 100",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703596421",
            "telephone_number": "985-856-7893",
            "fax_number": "985-346-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 W MAIN ST STE 100",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703596421",
            "telephone_number": "985-856-7893",
            "fax_number": "985-346-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LOUISIANA SOCIAL SERVICE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-856-7893",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.