Department of Health & Hospital

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

115 Issued in LA

Legal business name

DEPARTMENT OF HEALTH & HOSPITAL

Practice address

401 East Road
Cullen, LA 71021

Phone

(318) 632-2040

Fax

(318) 632-2073

NPI assigned

May 24, 2006

Last updated

Aug 22, 2020By 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

Robert E. Boyd, LAC, CCSNPI 1255361812

Title

Director

Phone

(318) 632-2040

Specialties & licenses 1

Addresses

Other names 1

• CULLEN CAD Other name

Member of 1

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

• Department of Health and Hospitals

  dba Dr. Joseph H. Tyler, Jr. Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1023162096

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Robert E Boyd, LAC, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Shreveport, LA
  • NPI 1255361812
  Authorized official Same address or phone
• Alice Mae King, SWS

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1982634408
  NPD (past)
• Allison French Patterson, LCSW

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1952456436
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457306672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 FINANCIAL PLZ",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292615",
            "telephone_number": "318-632-2040",
            "fax_number": "318-632-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST ROAD",
            "city": "CULLEN",
            "state": "LA",
            "postal_code": "71021",
            "telephone_number": "318-632-2040",
            "fax_number": "318-632-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH & HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-632-2040",
        "authorized_official_credential": "LAC, CCS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CULLEN CAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rita McClure Cook, M.A.LPC

• Substance Use Disorder Rehabilitation Clinic/Center in Cullen, LA
• Providers in Cullen, 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 Aug 22, 2020; 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.