Family New Life Bastrop LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY NEW LIFE BASTROP LLC

Practice address

200 McCreight St
Bastrop, LA 71220-3955

Phone

(318) 556-4081

NPI assigned

Feb 9, 2010

Last updated

Feb 9, 2010By 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

Mrs. Adrian Williams

Title

Administrator

Phone

(318) 325-8050

Specialties & licenses 1

Addresses

Tax ID family

Family New Life Bastrop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family New Life Bastrop

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1316305576
  NPD tax ID

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.

• Tynesha Cato

  • Case Manager/Care Coordinator
  • Bastrop, LA
  • NPI 1073185690
  NPD (past)

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1336471796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WASHINGTON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MCCREIGHT ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203955",
            "telephone_number": "318-556-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NEW LIFE BASTROP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-325-8050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Wright (Whit's Pharmacy)
• Stacy R Embanato, CRNA
• Antonio Evans
• Quintina Evertt
• Dusty Fallin
• Holley Farrar
• First Choice Counseling, LLC
• First Choice Counseling, LLC
• First Choice Counseling, LLC
• Floyd Psychotherapy Group, LLC

• Community/Behavioral Health Agency in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.