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NORTHEAST DELTA HUMAN SERVICES AUTHORITY NPI 1639511256


NPI Information

NPI: 1639511256
Provider Name: NORTHEAST DELTA HUMAN SERVICES AUTHORITY

Doing Business As: BASTROP BEHAVIORAL HEALTH CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
451 E MADISON AVE
BASTROP, LA
ZIP 71220
Phone: (318) 283-0868
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NORTHEAST DELTA HUMAN SERVICES AUTHORITY is a mental health (including community mental health center) clinic center in Bastrop, LA. NORTHEAST DELTA HUMAN SERVICES AUTHORITY NPI is 1639511256. The provider is registered as an organization entity type.
The provider Is Doing Business As Bastrop Behavioral Health Clinic.

The provider's business location address is:

451 E MADISON AVE
BASTROP, LA
ZIP 71220-829
Phone: (318) 283-0868
Fax: (318) 283-0875

The provider's authorized official is Octavia Green .
The authorized official title is Administrative Program Specialist B and has the following contact phone number (318) 362-3270.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 10/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2203782906LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11750051MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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