Northeast la. Substance Abuse Clinic

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

NORTHEAST LA. SUBSTANCE ABUSE CLINIC

Practice address

809 Julia St
Rayville, LA 71269-2648

Phone

(318) 728-2057

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Sierra Talbert, CAC

Title

Counselor

Phone

(318) 435-7558

Specialties & licenses 2

Addresses

Tax ID family

Northeast Louisiana Substance Abuse3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Northeast Louisiana Substance Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winnsboro, LA
  • NPI 1356609960
  NPD tax ID
• Northeast Louisiana Substance Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oak Grove, LA
  • NPI 1649538398
  NPD tax ID

Locations

Practitioners 2

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

• Adrian Parker, COUNSELOR IN TRAININ

  • Addiction (Substance Use Disorder) Counselor
  • Rayville, LA
  • NPI 1619740834
  NPD
• Meghan Vallery, COUNSELOR IN TRAININ

  • Addiction (Substance Use Disorder) Counselor
  • Rayville, LA
  • NPI 1366215576
  NPD

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1407116015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 JULIA ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692648",
            "telephone_number": "318-728-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 JULIA ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692648",
            "telephone_number": "318-728-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST LA. SUBSTANCE ABUSE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "318-435-7558",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam L. Moore III, M. ED
• Elnora Danielle Myles
• Roderick Myles I
• Charmetta Kay Nash
• Amanda Nicholson, LPN
• Northeast Louisiana Physical Therapy, LLC
• Osteoporosis Imaging Center
• Lisa Nicole Pace, CD
• Sonya Denae Pailette, LOTR
• Palmetto Addiction Recovery Center, Inc

• Substance Use Disorder Rehabilitation Clinic/Center in Rayville, LA
• Providers in Rayville, LA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.