New Leaf Behavioral Health Clinicians, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NEW LEAF BEHAVIORAL HEALTH CLINICIANS, LLC

Doing business as

HESED Medical

Practice address

2905 Fiske Street
Lake Charles, LA 70601-8550

Phone

(337) 476-1338

NPI assigned

Aug 7, 2020

Organization subpart

Yes

Parent organization

NEW LEAF BEHAVIORAL HEALTH CLINICIANAs reported in NPPES

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

Authorized official

Name

Mr. Horatio Acquinaldo Millin Jr., MD

Title

Owner/Manager

Phone

(337) 476-1338

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HESED Medical Doing business as

Part of

New Leaf Behavioral Health Clinicians LLC

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1255941902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 FISKE STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018550",
            "telephone_number": "337-476-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 FISKE STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018550",
            "telephone_number": "337-476-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF BEHAVIORAL HEALTH CLINICIANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LEAF BEHAVIORAL HEALTH CLINICIAN",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "MILLIN",
        "authorized_official_first_name": "HORATIO",
        "authorized_official_middle_name": "ACQUINALDO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "337-476-1338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049085",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HESED Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• New Horizons Counseling Center, LLC
• Kara Elizabeth Newingham, LPC-S
• Alaina Michelle Newman, DPT
• Daryl Newman
• Ashley Fejarang Newsom, N.P.
• Baron B Newton Jr., M.D.

• Psychiatry Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.