NPIMap

Organization Active NPI

Protective Factors, LLC

  • Community/Behavioral Health Agency
  • Monroe, LA
National Provider Identifier
1366801730
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROTECTIVE FACTORS, LLC
Practice address
806 N 31St St
Suite B
Monroe, LA 71201-3900
Phone
(318) 737-7794
Fax
(318) 605-4800
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Mrs. Victoria Pleasant-Wallace, LCSW
Title
Owner
Phone
(318) 450-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

806 N 31St St
Suite B
Monroe, LA 71201-3900

Mailing address

806 N 31St St
Suite B
Monroe, LA 71201-3900
Phone (318) 737-7794

National Provider Directory

National Provider Directory

Locations

806 N 31st St
Ste B
Monroe, LA 71201
Phone (318) 737-7794

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1366801730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N 31ST ST",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013900",
            "telephone_number": "318-737-7794",
            "fax_number": "318-605-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N 31ST ST",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013900",
            "telephone_number": "318-737-7794",
            "fax_number": "318-605-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTECTIVE FACTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "PLEASANT-WALLACE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-450-2606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.