Organization Active NPI

Behavioral Medicine & Addictive Disorders, Inc.

  • Community/Behavioral Health Agency
  • Shreveport, LA
National Provider Identifier
1508310806
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5599 Issued in LA
Legal business name
BEHAVIORAL MEDICINE & ADDICTIVE DISORDERS, INC.
Practice address
7330 Fern Ave Ste 502
Shreveport, LA 71105-4983
Phone
(318) 681-8100
Fax
(318) 681-8106
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Ms. Sandra Williams, LPC-S
Title
Clinical Director
Phone
(318) 681-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 5599 LA
Community/Behavioral Health Agency 251S00000X 5599 LA Primary

Addresses

Primary practice location

7330 Fern Ave Ste 502
Shreveport, LA 71105-4983

Mailing address

7330 Fern Ave Ste 502
Shreveport, LA 71105-4983
Phone (318) 681-8100

National Provider Directory

National Provider Directory

Locations

7330 Fern Ave
Ste 502
Shreveport, LA 71105
Phone (318) 681-8100

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1508310806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 FERN AVE STE 502",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054983",
            "telephone_number": "318-681-8100",
            "fax_number": "318-681-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 FERN AVE STE 502",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054983",
            "telephone_number": "318-681-8100",
            "fax_number": "318-681-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE & ADDICTIVE DISORDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "318-681-8100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5599",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "5599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.