Audubon Behavioral Healthcare of Lufkin LP

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

AUDUBON BEHAVIORAL HEALTHCARE OF LUFKIN LP

Practice address

302 Gobblers Knob Rd
Lufkin, TX 75904-5419

Phone

(318) 797-6785

Fax

(318) 797-6986

NPI assigned

Nov 2, 2010

Last updated

Sep 7, 2011By 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

Mr. Bill Vann Brown

Title

Manager of LP

Phone

(318) 797-6785

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1679873004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 PROFESSIONAL DR N",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055611",
            "telephone_number": "318-797-6785",
            "fax_number": "318-797-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 GOBBLERS KNOB RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045419",
            "telephone_number": "318-797-6785",
            "fax_number": "318-797-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON BEHAVIORAL HEALTHCARE OF LUFKIN LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "VANN",
        "authorized_official_title_or_position": "MANAGER OF LP",
        "authorized_official_telephone_number": "318-797-6785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital in Lufkin, TX
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• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.