NORTHEAST DELTA HUMAN SERVICES AUTHORITY NPI 1417601394

NPI Information

  • NPI: 1417601394
  • Provider Name: NORTHEAST DELTA HUMAN SERVICES AUTHORITY
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: TALLULAH BEHAVIORAL HEALTH CLINIC-MEDICAL
  • Address: 1012 JOHNSON ST
    TALLULAH, LA
    ZIP 71282
  • Phone: (318) 574-1713

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NPI Details

NORTHEAST DELTA HUMAN SERVICES AUTHORITY is a primary care clinic center in Tallulah, LA. NORTHEAST DELTA HUMAN SERVICES AUTHORITY NPI is 1417601394. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tallulah Behavioral Health Clinic-medical.

The provider's business location address is:

1012 JOHNSON ST
TALLULAH, LA
ZIP 71282-216
Phone: (318) 574-1713
Fax: (318) 574-2299

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 2/9/2022 and was last updated on 8/30/2023.

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
1363LF0000XNurse PractitionerFamilyNo
2261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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