Louisiana Community Health and Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LOUISIANA COMMUNITY HEALTH AND WELLNESS CENTER LLC

Practice address

805 Parent St
New Roads, LA 70760-2215

Phone

(225) 638-8878

Fax

(225) 638-8879

NPI assigned

May 12, 2010

Last updated

May 12, 2010By 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. Kendrick Ebanks

Title

Co-Owner

Phone

(225) 638-8878

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1730407966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 PARENT ST",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602215",
            "telephone_number": "225-638-8878",
            "fax_number": "225-638-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PARENT ST",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602215",
            "telephone_number": "225-638-8878",
            "fax_number": "225-638-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA COMMUNITY HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "225-638-8878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in New Roads, LA
• Providers in New Roads, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.