NPIMap

Organization Active NPI

Felicianas' Youth of Distinction Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Clinton, LA
National Provider Identifier
1255759148
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FELICIANAS' YOUTH OF DISTINCTION BEHAVIORAL HEALTH, LLC
Practice address
10105 Plank Rd Ste a
Clinton, LA 70722-3707
Phone
(225) 244-7026
Fax
(225) 244-7028
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mrs. Stephanie Spann Gilmore, MA
Title
Administrative Director
Phone
(225) 244-7026

Specialties & licenses 1

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

Addresses

Primary practice location

10105 Plank Rd Ste a
Clinton, LA 70722-3707

Mailing address

10105 Plank Rd Ste a
Clinton, LA 70722-3707
Phone (225) 244-7026

Other identifiers 1

IdentifierTypeStateIssuer
600925226MedicaidLA

National Provider Directory

National Provider Directory

Locations

10105 Plank Rd
#A
Clinton, LA 70722
Phone (225) 244-7026

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1255759148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 PLANK RD STE A",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223707",
            "telephone_number": "225-244-7026",
            "fax_number": "225-244-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 PLANK RD STE A",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223707",
            "telephone_number": "225-244-7026",
            "fax_number": "225-244-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIANAS' YOUTH OF DISTINCTION BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "SPANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "225-244-7026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600925226",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, LA

Sources for this page

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