Wooddale Mental Health, LLC

Primary specialty

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

Legal business name

WOODDALE MENTAL HEALTH, LLC

Practice address

1335 Wooddale Blvd # B
Baton Rouge, LA 70806-2328

Phone

(318) 473-0863

Fax

(318) 473-9889

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Renessa L Fowlkes

Title

Billing Supervisor

Phone

(318) 473-0863

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Commcare Corporation

  • Skilled Nursing Facility
  • Ponchatoula, LA
  • NPI 1710464664

  Member Of

  NPD member

Practitioners 1

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

• Carol Murphy, M.D.

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1649283375
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1306947049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BAYOU RAPIDES RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033601",
            "telephone_number": "318-473-0863",
            "fax_number": "318-473-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 WOODDALE BLVD # B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062328",
            "telephone_number": "318-473-0863",
            "fax_number": "318-473-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODDALE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "FOWLKES",
        "authorized_official_first_name": "RENESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "318-473-0863"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shianne Wood, PA-C
• Rebecca Woodall
• Carly Renee Woodard, APRN-CNP
• Tommy Joe Woodard Jr., PHARMD
• Traci D. Woodard, M.D.
• Elizabeth Wooden, CCC-SLP
• Brandon K Wooders
• Latosha Lynette Woodfork
• Brittany Woodland
• Gwendolyn Irene Woodland, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baton Rouge, LA
• Providers in Baton Rouge, 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 Oct 17, 2007; 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.