Alternatives for Life Treatment & Recovery of Jackson LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC

Practice address

5360 I 55 N Ste 160
Jackson, MS 39211-4055

Phone

(601) 362-3131

Fax

(601) 362-3339

NPI assigned

Sep 23, 2008

Last updated

Jun 17, 2021By 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. Rueben S Bienvenu

Title

Program Sponsor

Phone

(337) 298-1257

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad W Trosclair, MD

  • Addiction Medicine (Family Medicine) Physician
  • Covington, LA
  • NPI 1952556094
  NPD
• Monica Louise Harper, CRC, PCAC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, MS
  • NPI 1538481858
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1821248279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2344",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704702344",
            "telephone_number": "504-812-6431",
            "fax_number": "601-362-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 I 55 N STE 160",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114055",
            "telephone_number": "601-362-3131",
            "fax_number": "601-362-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "BIENVENU",
        "authorized_official_first_name": "RUEBEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "337-298-1257",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "MS-10003-M",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariegene Eliza Almand
• James P Almas, MD
• Alpha Healthcare and Nursing SRVC LLC
• Josephine Sevier Alston, SLP
• Kristen Alston, PH.D.
• Pradeep Alur, MD
• Radha Inagandla Alur, MD
• Pruthvi Sai Chowdary Aluri, M.D.
• Irving Adrian Alvarado Gonzalez, MD
• Ilitza Alvarez-Moreno, LCSW-S

• Methadone Clinic in Jackson, MS
• Providers in Jackson, MS by specialty
• Methadone Clinic in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.