Active NPI
Monroe Behavioral Health Consultants, LLC
- Psychiatry Physician
- Bastrop, LA
National Provider Identifier
1639618721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MONROE BEHAVIORAL HEALTH CONSULTANTS, LLC
- Practice address
- 4673 Eugene Ware Blvd
Bastrop, LA 71220-1425 - Phone
- (318) 281-2448
- NPI assigned
- Feb 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelli Beavers
- Title
- Credentialing MGR
- Phone
- (318) 325-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
4673 Eugene Ware Blvd
Bastrop, LA 71220-1425
Mailing address
100 S 2ND St
Monroe, LA 71201-8537
Phone (318) 325-6200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487721600000",
"number": "1639618721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 2ND ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712018537",
"telephone_number": "318-325-6200",
"fax_number": "318-325-6202"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONROE BEHAVIORAL HEALTH CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A",
"authorized_official_last_name": "BEAVERS",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "CREDENTIALING MGR",
"authorized_official_telephone_number": "318-325-6200"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.