Delta Behavioral Health Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DELTA BEHAVIORAL HEALTH SERVICES

Practice address

4673 Eugene Ware Blvd
Bastrop, LA 71220-1425

Phone

(318) 281-2448

Fax

(866) 819-6912

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Ashley Brock

Title

Director of Revenue

Phone

(318) 281-2448

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1609566967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PINE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016228",
            "telephone_number": "318-281-2448",
            "fax_number": "866-819-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4673 EUGENE WARE BLVD",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712201425",
            "telephone_number": "318-281-2448",
            "fax_number": "866-819-6912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Ee Wallace Blvd N",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713342239",
            "country_code": "US",
            "telephone_number": "318-281-2448 x313",
            "fax_number": "866-819-6912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELTA BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "318-281-2448"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Darden
• Heather Hollis Davis, FNP-C
• Ijnanya Davis
• Levi Dejohnette III
• Delta Anesthesia Associates
• Delta Medical Practices, L.L.C.
• Department of Health and Hospitals (OBH-Bastrop Addictive Disorders Clinic)
• Department of Health and Hospitals (Bastrop Behavioral Health Clinic)
• DHH Office of Behavioral Health
• Lindsey Lenette Diel, COTA

• Family Medicine Physician in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.