Organization Active NPI

Mental Health Services of Alexandria LLC

  • Clinical Social Worker
  • Alexandria, LA
National Provider Identifier
1801489869
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL HEALTH SERVICES OF ALEXANDRIA LLC
Practice address
3600 Jackson St Ste 117
Alexandria, LA 71303-3000
Phone
(318) 704-0397
Fax
(318) 704-0396
NPI assigned
Feb 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Ms. Theresa Grace Cole, MSW
Title
Social Worker
Phone
(318) 787-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3600 Jackson St Ste 117
Alexandria, LA 71303-3000

Mailing address

3600 Jackson St Ste 117
Alexandria, LA 71303-3000
Phone (318) 704-0397

National Provider Directory

National Provider Directory

Locations

3600 Jackson St
Ste 117
Alexandria, LA 71303
Phone (318) 704-0397

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1801489869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 JACKSON ST STE 117",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033000",
            "telephone_number": "318-704-0397",
            "fax_number": "318-704-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JACKSON ST STE 117",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033000",
            "telephone_number": "318-704-0397",
            "fax_number": "318-704-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH SERVICES OF ALEXANDRIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-14",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "318-787-1301",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.