Choices on the Northshore

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SA0007136 Issued in LA

Legal business name

CHOICES ON THE NORTHSHORE

Practice address

2107 N Causeway Blvd Ste E
Mandeville, LA 70471-1829

Phone

(985) 624-2267

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Ann Heffernan, LPC, LMFT, LAC

Title

Clinical Director

Phone

(985) 624-2267

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922217785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N CAUSEWAY BLVD STE E",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711829",
            "telephone_number": "985-624-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 N CAUSEWAY BLVD STE E",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711829",
            "telephone_number": "985-624-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES ON THE NORTHSHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEFFERNAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "985-624-2267",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LMFT, LAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "SA0007136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.