Department of Health and Hospitals

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

111 Issued in LA

Legal business name

DEPARTMENT OF HEALTH AND HOSPITALS

Doing business as

Ville Platte Mental Health

Practice address

312 Court St
Ville Platte, LA 70586-5248

Phone

(337) 363-5525

Fax

(337) 363-1567

NPI assigned

Oct 5, 2006

Last updated

Oct 24, 2013By 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

Mrs. Nancy F. Bourque, LCSW

Title

Mental Health Center Manager

Phone

(337) 363-5526

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ville Platte Mental Health Doing business as

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1588750533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SOUTH COURT ST.",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "70586",
            "telephone_number": "337-363-5525",
            "fax_number": "337-363-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COURT ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865248",
            "telephone_number": "337-363-5525",
            "fax_number": "337-363-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BOURQUE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MENTAL HEALTH CENTER MANAGER",
        "authorized_official_telephone_number": "337-363-5526",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710296",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ville Platte Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Kilene Davis
• Joshua Davis, C.I.T.
• Debra Vidrine, Health Care Services,LLC
• Ginger Nicole Delafosse, O.D.
• Department of Health & Hospitals
• Dept. of Health & Hospitals (Ville Platte Addictive Disorders Clinic)
• Alexandra Deville, M.A., SLP
• Jose Nelson Dorta, M.D.
• Sheila M. Doucet, RN
• Dr Ginger Delafosse LLC

• Mental Health Counselor in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.