Mamou Health Resources, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAMOU HEALTH RESOURCES, INC.

Practice address

1510 Napoleon St
Mamou, LA 70554-2320

Phone

(337) 468-2333

Fax

(337) 468-3620

NPI assigned

Jul 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jake Fontenot

Title

Ceo, Board President

Phone

(337) 468-5959

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Dina Broussard, LCSW

  • Clinical Social Worker
  • Mamou, LA
  • NPI 1275675043
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306875398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTH ST",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705544422",
            "telephone_number": "337-468-5959",
            "fax_number": "337-468-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NAPOLEON ST",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542320",
            "telephone_number": "337-468-2333",
            "fax_number": "337-468-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMOU HEALTH RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "CEO, BOARD PRESIDENT",
        "authorized_official_telephone_number": "337-468-5959"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122785",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upendra M Kulkarni, M.D.
• Sara Lafleur, CF-SLF
• Jacob P Launey, CRNA
• Spencer D. Launey, M.D.
• LLC-II, LLC (Evangeline Extended Care Hospital)
• Mamou Imaging Group
• Cora E Manuel, MPT
• Shawn Bradley McGee
• Jessica Lee McNabb, LPC, LMFT
• Meena a Bakare MD Apmc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mamou, LA
• Providers in Mamou, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.