ALLEN OUTREACH INC. - NPI NUMBER 1124341425

Summary

Provider Name: ALLEN OUTREACH INC.

NPI Number: 1124341425

Clasification: Community/Behavioral Health (251S00000X)

Address:
113 N 13TH ST
OAKDALE, LA
ZIP 71463

Phone Number: (318) 335-3578



Detailed Information

ALLEN OUTREACH INC. is a community/behavioral health in Oakdale, LA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. The assigned NPI number for this provider is 1124341425 and is registered as an organization entity type.

The provider's business address is:

113 N 13TH ST
OAKDALE, LA
ZIP 71463-742
Phone: (318) 335-3578
Fax: (318) 335-3753

The provider's authorized official is Scott Lejeune .
The authorized official title is Clinical Supervisor and has the following contact phone number (318) 335-3578.

The enumeration date for this NPI number is 3/2/2010 and was last updated on 10/15/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 251S00000X Community/Behavioral Health 220 LA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 10885 OTHER LA LA ADDICTIVE DISORDERS (LADDS)
2 250 OTHER LA LA DEPARTMENT OF HEALTH & HOSPITALS

NPI Record

No. Field Name Field Value
1 NPI 1124341425
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name ALLEN OUTREACH INC.
5 Provider First Line Business Practice Location Address 113 N 13TH ST
6 Provider Business Practice Location Address City Name OAKDALE
7 Provider Business Practice Location Address State Name LA
8 Provider Business Practice Location Address Postal Code 714632742
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 3183353578
11 Provider Business Practice Location Address Fax Number 3183353753
12 Provider Enumeration Date 3/2/2010
13 Last Update Date 10/15/2010
14 Authorized Official Last Name LEJEUNE
15 Authorized Official First Name SCOTT
16 Authorized Official Title or Position CLINICAL SUPERVISOR
17 Authorized Official Telephone Number 3183353578
18 Healthcare Provider Taxonomy Code 1 251S00000X
19 Provider License Number 1 220
20 Provider License Number State Code 1 LA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 10885
23 Other Provider Identifier Type Code 1 01
24 Other Provider Identifier State 1 LA
25 Other Provider Identifier Issuer 1 LA ADDICTIVE DISORDERS (LADDS)
26 Other Provider Identifier 2 250
27 Other Provider Identifier Type Code 2 01
28 Other Provider Identifier State 2 LA
29 Other Provider Identifier Issuer 2 LA DEPARTMENT OF HEALTH & HOSPITALS
30 Is Organization Subpart N
31 Authorized Official Name Prefix Text DR.
32 Authorized Official Credential Text LPC-S, LMFT

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This page was last updated on: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.