Active NPI
Department of Health & Hospitals
- Addiction (Substance Use Disorder) Counselor
- Hammond, LA
National Provider Identifier
1699726299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 023
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Hammond, LA
- NPI 1982611463
-
- Internal Medicine Physician
- Slidell, LA
- NPI 1619119476
-
- Addiction (Substance Use Disorder) Counselor
- Hammond, LA
- NPI 1548586944
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.