NPIMap

Organization Active NPI

Northeast Louisiana Substance Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oak Grove, LA
National Provider Identifier
1649538398
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NORTHEAST LOUISIANA SUBSTANCE ABUSE
Practice address
305 E Main St
Oak Grove, LA 71263-2541
Phone
(318) 428-9202
Fax
(318) 428-9279
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Sierra Talbert, CAC
Title
Counselor
Phone
(318) 435-7558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

305 E Main St
Oak Grove, LA 71263-2541

Mailing address

305 E Main St
PO Box 1208
Oak Grove, LA 71263-2541
Phone (318) 428-9202

National Provider Directory

National Provider Directory
Tax ID family
Northeast Louisiana Substance Abuse3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1649538398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E MAIN ST",
            "address_2": "PO BOX 1208",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712632541",
            "telephone_number": "318-428-9202",
            "fax_number": "318-428-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E MAIN ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712632541",
            "telephone_number": "318-428-9202",
            "fax_number": "318-428-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST LOUISIANA SUBSTANCE ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "318-435-7558",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.