Wings of Eagles Behavioral Health

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3601 Issued in LA

Legal business name

WINGS OF EAGLES BEHAVIORAL HEALTH

Practice address

201 Pine Bluff Rd
Chatham, LA 71226-7904

Phone

(318) 737-2566

Fax

(318) 933-7385

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Terry Driskill, LPCNPI 1689906190

Title

Owner/Authorized Official

Phone

(318) 737-2566

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Terry Driskill Other name

Practitioners 1

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

• Terry L Driskill, LPC#3601

  • Professional Counselor
  • Jonesboro, LA
  • NPI 1689906190
  NPD Authorized official

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1760733539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD",
            "city": "CHATHAM",
            "state": "LA",
            "postal_code": "712267904",
            "telephone_number": "318-737-2566",
            "fax_number": "318-933-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD",
            "city": "CHATHAM",
            "state": "LA",
            "postal_code": "712267904",
            "telephone_number": "318-737-2566",
            "fax_number": "318-933-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF EAGLES BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "DRISKILL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "318-737-2566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TERRY DRISKILL",
            "identifier": "3601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry Driskill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dana Blalock Williams, APRN

• Professional Counselor in Chatham, LA
• Providers in Chatham, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.