Neuro Eeg Biofeedback Associates, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEURO EEG BIOFEEDBACK ASSOCIATES, LLC

Practice address

1 Lakeshore Dr
Suite 1490
Lake Charles, LA 70629-0100

Phone

(337) 278-2903

NPI assigned

Aug 29, 2011

Last updated

Aug 29, 2011By 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

Ms. Monika Alice Williamson, RN, BSN, OCN, LNC

Title

Owner

Phone

(337) 278-2903

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1316228893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 OSCAR GUIDRY RD",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705826213",
            "telephone_number": "337-278-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DR",
            "address_2": "SUITE 1490",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706290100",
            "telephone_number": "337-278-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO EEG BIOFEEDBACK ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-278-2903",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, OCN, LNC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.