Organization Active NPI

Monroe Addictive Disorder Clinic

  • Substance Abuse Rehabilitation Facility
  • Monroe, LA
National Provider Identifier
1710149810
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MONROE ADDICTIVE DISORDER CLINIC
Practice address
3200 Concordia Ave
Monroe, LA 71201-5113
Phone
(318) 362-5188
Fax
(318) 362-5215
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Ms. Deangela Dianne Dobbins, LMFT
Title
Counsleor 4
Phone
(318) 362-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3200 Concordia Ave
Monroe, LA 71201-5113

Mailing address

3200 Concordia Ave
Monroe, LA 71201-5113
Phone (318) 362-5188

National Provider Directory

National Provider Directory

Locations

3200 Concordia Ave
Monroe, LA 71201
Phone (318) 362-3270

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1710149810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CONCORDIA AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015113",
            "telephone_number": "318-362-5188",
            "fax_number": "318-362-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CONCORDIA AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015113",
            "telephone_number": "318-362-5188",
            "fax_number": "318-362-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE ADDICTIVE DISORDER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "DEANGELA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "COUNSLEOR 4",
        "authorized_official_telephone_number": "318-362-5188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.