NPIMap

Organization Active NPI

Behaviroal Health &Wellness LLC

  • Community/Behavioral Health Agency
  • Bogalousa, LA
National Provider Identifier
1265984082
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1033588793 Issued in LA
Legal business name
BEHAVIROAL HEALTH &WELLNESS LLC
Practice address
302 Richmond Street Suite a
Bogalousa, LA 70427
Phone
(985) 732-2089
Fax
(985) 516-3931
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Mrs. Simone Delaune Nolan
Title
CPST/PSR
Phone
(985) 789-0975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1033588793 LA Primary

Addresses

Primary practice location

302 Richmond Street Suite a
Bogalousa, LA 70427

Mailing address

302 Richmond St
Bogalusa, LA 70427-3942
Phone (985) 732-2089

National Provider Directory

National Provider Directory

Locations

302 Richmond St
Bogalusa, LA 70427
Phone (985) 732-2089

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1265984082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RICHMOND ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273942",
            "telephone_number": "985-732-2089",
            "fax_number": "985-516-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RICHMOND STREET SUITE A",
            "city": "BOGALOUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-732-2089",
            "fax_number": "985-516-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIROAL HEALTH &WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "DELAUNE",
        "authorized_official_title_or_position": "CPST/PSR",
        "authorized_official_telephone_number": "985-789-0975",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "1033588793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.