NPIMap

Organization Active NPI

Slidell Addictive Disorders Clinic

  • Community/Behavioral Health Agency
  • Slidell, LA
National Provider Identifier
1932415080
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
251S00000X Issued in LA
Legal business name
SLIDELL ADDICTIVE DISORDERS CLINIC
Practice address
2331 Carey St
Slidell, LA 70458-3627
Phone
(985) 646-6406
Fax
(985) 646-6460
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Mrs. Bernice Williams, LAC
Title
Clinic Manager
Phone
(985) 646-6406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 251S00000X LA Primary

Addresses

Primary practice location

2331 Carey St
Slidell, LA 70458-3627

Mailing address

2331 Carey St
Slidell, LA 70458-3627
Phone (985) 646-6406

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Center for Mental Health35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1932415080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 CAREY ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583627",
            "telephone_number": "985-646-6406",
            "fax_number": "985-646-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 CAREY ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583627",
            "telephone_number": "985-646-6406",
            "fax_number": "985-646-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL ADDICTIVE DISORDERS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "985-646-6406",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.