Organization Active NPI

Department of Health & Hospitals

  • Addiction (Substance Use Disorder) Counselor
  • Hammond, LA
National Provider Identifier
1699726299
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
023 Issued in LA
Legal business name
DEPARTMENT OF HEALTH & HOSPITALS
Practice address
202 E Robert St
Hammond, LA 70401-3350
Phone
(985) 543-4070
Fax
(985) 543-4073
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Willie Wallace, MSW
Title
Clinic Manager
Phone
(985) 543-4071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 023 LA Primary

Addresses

Primary practice location

202 E Robert St
Hammond, LA 70401-3350

Mailing address

202 E Robert St
Hammond, LA 70401-3350
Phone (985) 543-4070

Other names 1

  • Hammond Addictive Disorders Clinic Other name

National Provider Directory

National Provider Directory

Locations

403 Market St
Hammond, LA 70401
Phone (985) 543-4070

202 E Robert St
Hammond, LA 70401
Phone (225) 283-1211

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1699726299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E ROBERT ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013350",
            "telephone_number": "985-543-4070",
            "fax_number": "985-543-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E ROBERT ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013350",
            "telephone_number": "985-543-4070",
            "fax_number": "985-543-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH & HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "985-543-4071",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammond Addictive Disorders Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.