Active NPI
Springlake Behavioral Health Bunkie LLC
- Substance Use Disorder Rehabilitation Hospital Unit
- Bunkie, LA
National Provider Identifier
1861074940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit
- Legal business name
- SPRINGLAKE BEHAVIORAL HEALTH BUNKIE LLC
- Practice address
- 323 Evergreen St
Bunkie, LA 71322-1307 - Phone
- (318) 346-3143
- Fax
- (318) 295-4017
- NPI assigned
- Apr 27, 2021
- Last updated
- Apr 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip Sean Wendell
- Title
- Ceo
- Phone
- (225) 810-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | NU | Primary |
Addresses
Primary practice location
323 Evergreen St
Bunkie, LA 71322-1307
Mailing address
4601 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9656
Phone (225) 810-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2700227 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Springlake Behavioral Health Bunkie LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Beacon Behavioral Outpatient - Opelousas
- Mental Health Counselor
- Opelousas, LA
- NPI 1104459064
-
- Psychiatric Hospital
- Bunkie, LA
- NPI 1184044430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1861074940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 BLUEBONNET BLVD STE B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708099656",
"telephone_number": "225-810-4040",
"fax_number": "225-810-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 EVERGREEN ST",
"city": "BUNKIE",
"state": "LA",
"postal_code": "713221307",
"telephone_number": "318-346-3143",
"fax_number": "318-295-4017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGLAKE BEHAVIORAL HEALTH BUNKIE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-03-31",
"status": "A",
"authorized_official_last_name": "WENDELL",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "SEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-810-4040"
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2700227",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bunkie, LA
- Ashley Smith
- Latoya Smith
- Anthony Bruce Soileau Jr., R.PH.
- Southern Grace Healthcare LLC
- Springlake Behavioral Health Bunkie LLC
- Mohit Srivastava, MD
- Michael John Stacey, D.D.S.
- Sylvia's Caring Companions Health Care Services
- Sylvia's Caring Companions Health Care Services
- Sylvia's Social Services (Sylvia's Caring Companions Health Care Services, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.