Iberville Parish Substance Abuse Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

241 Issued in LA

Legal business name

IBERVILLE PARISH SUBSTANCE ABUSE CENTER

Practice address

24705 Plaza Dr
Suite B
Plaquemine, LA 70764-6827

Phone

(225) 687-5889

Fax

(225) 687-5893

NPI assigned

May 31, 2012

Organization subpart

Yes

Parent organization

IBERVILLE PARISH COUNCILAs reported in NPPES

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

Authorized official

Name

Mr. George Bert Allain, LCSW

Title

Director

Phone

(225) 687-5889

Specialties & licenses 1

Addresses

Part of

Iberville Parish Substance Abuse Center

Locations

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1497016083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24705 PLAZA DR",
            "address_2": "SUITE B",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646827",
            "telephone_number": "225-687-5889",
            "fax_number": "225-687-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24705 PLAZA DR",
            "address_2": "SUITE B",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646827",
            "telephone_number": "225-687-5889",
            "fax_number": "225-687-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERVILLE PARISH SUBSTANCE ABUSE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IBERVILLE PARISH COUNCIL",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "ALLAIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-687-5889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iberville Health, LLC
• Iberville Imaging LLC
• Iberville Medical Supplies Store, LLC
• Iberville Parish School Board
• Iberville Parish School Board
• Ino Mindfullness Counseling and Consulting, LLC
• Keoshia Monique Jackson-Green
• Deshonna I Jackson
• Patrick Louis Jackson Sr.
• Rachael Jackson, BS

• Addiction (Substance Use Disorder) Counselor in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.