Department of Health & Hospitals

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

93 Issued in LA

Legal business name

DEPARTMENT OF HEALTH & HOSPITALS

Doing business as

Red River Behavioral Health Clinic

Practice address

1313 Ringgold Avenue
Coushatta, LA 71019-1016

Phone

(318) 932-4029

Fax

(318) 932-5914

NPI assigned

Jan 25, 2007

Last updated

Jul 31, 2013By 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

Ms. Allie D. Allen

Title

Dir. of Operations

Phone

(318) 676-5160

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Red River Behavioral Health Clinic Doing business as

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1871648931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 RINGGOLD AVENUE",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710191016",
            "telephone_number": "318-932-4029",
            "fax_number": "318-932-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 RINGGOLD AVENUE",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710191016",
            "telephone_number": "318-932-4029",
            "fax_number": "318-932-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH & HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIR. OF OPERATIONS",
        "authorized_official_telephone_number": "318-676-5160",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710687",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myra Lynn Cumber, G.S.W.
• D Gregory Bell MD and Willis-Knighton Medical Center
• Ginny Daily, DPT
• Lisa Helen Davis, PT
• Deborah Jeanne Dejean-Eaton, REGISTERED NURSE
• Lindsay Hawthorne Dupree, DPT
• Claire Elise Endris
• Esther M. Holloway, M.D., Apmc
• Evolve Family Life Services LLC
• Melanie Paul Francis, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coushatta, LA
• Providers in Coushatta, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.