Active NPI
Youth of Excellence of la Recreation Center
- Mental Illness Community Based Residential Treatment Facility
- Tallulah, LA
National Provider Identifier
1497408892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- YOUTH OF EXCELLENCE OF LA RECREATION CENTER
- Practice address
- 1015 N Arey St
Tallulah, LA 71282-2003 - Phone
- (318) 341-3487
- NPI assigned
- Jan 27, 2022
- Organization subpart
- Yes
- Parent organization
- YOUTH OF EXCELLENCE OF LOUISIANA C/O MARY WATSON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Watson
- Title
- Owner
- Phone
- (318) 341-3487
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
1015 N Arey St
Tallulah, LA 71282-2003
Mailing address
1715 Filhiol Ave
Monroe, LA 71203-3407
Phone (318) 341-3487
Other names 2
- YOUTH OF EXCELLENCE OF LA SAFEHAVEN THERAPEUTIC GROUP HOME
- YOUTH OF EXCELLENCE OF LOUISIANA SAFEHAVEN THERAPEUTIC GROUP HOME
National Provider Directory
National Provider Directory- Part of
- Youth of Excellence of la Recreation Center
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Monroe, LA
- NPI 1841657228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643241600000",
"number": "1497408892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 FILHIOL AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712033407",
"telephone_number": "318-341-3487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N AREY ST",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712822003",
"telephone_number": "318-341-3487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH OF EXCELLENCE OF LA RECREATION CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YOUTH OF EXCELLENCE OF LOUISIANA C/O MARY WATSON",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-341-3487",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YOUTH OF EXCELLENCE OF LA SAFEHAVEN THERAPEUTIC GROUP HOME",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "YOUTH OF EXCELLENCE OF LOUISIANA SAFEHAVEN THERAPEUTIC GROUP HOME",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tallulah, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.