Active NPI
Department of Health and Hospitals
- Substance Abuse Rehabilitation Facility
- West Monroe, LA
National Provider Identifier
1285699629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 286
- Legal business name
- DEPARTMENT OF HEALTH AND HOSPITALS
- Practice address
- 1416 Natchitoches St
West Monroe, LA 71292-3751 - Phone
- (318) 362-5430
- Fax
- (318) 362-5428
- NPI assigned
- Apr 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Phyllis Jerri Parks, MSW
- Title
- Oad/Regional Administrator
- Phone
- (318) 362-3270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 286 | LA | Primary |
Addresses
Primary practice location
1416 Natchitoches St
West Monroe, LA 71292-3751
Mailing address
1416 Natchitoches St
West Monroe, LA 71292-3751
Phone (318) 362-5430
Other names 1
- OBH-Southern Oaks Addiction Recovery and Starting Point Detox
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, LA
- NPI 1023162096
Member Of
Locations
4781 S Grand St
Monroe, LA 71202
Phone (318) 362-3270
1416 Natchitoches St
West Monroe, LA 71292
Phone (318) 323-2115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1285699629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 NATCHITOCHES ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712923751",
"telephone_number": "318-362-5430",
"fax_number": "318-362-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 NATCHITOCHES ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712923751",
"telephone_number": "318-362-5430",
"fax_number": "318-362-5428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_middle_name": "JERRI",
"authorized_official_title_or_position": "OAD/REGIONAL ADMINISTRATOR",
"authorized_official_telephone_number": "318-362-3270",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "LA",
"license": "286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OBH-Southern Oaks Addiction Recovery and Starting Point Detox",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.