The Stress Clinic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

30 Issued in LA

Legal business name

THE STRESS CLINIC

Practice address

2215 Liberty St
Monroe, LA 71201-3623

Phone

(318) 323-6162

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ebert H. Van Buren

Title

Owner/Psychologist

Phone

(318) 323-6162

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1750575684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 LIBERTY ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LIBERTY ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013623",
            "telephone_number": "318-323-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STRESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "VAN BUREN",
        "authorized_official_first_name": "EBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "318-323-6162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "436-26-17660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Monroe, LA
• Providers in Monroe, LA by specialty
• Point of Service in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.