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COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA NPI 1891152328


NPI Information

NPI: 1891152328
Provider Name: COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

Doing Business As: MANY ADDICTION RECOVERY CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2000 FAIRFIELD AVE
SHREVEPORT, LA
ZIP 71104
Phone: (318) 222-8511
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COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA is a clinic center in Shreveport, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA NPI is 1891152328. The provider is registered as an organization entity type.
The provider Is Doing Business As Many Addiction Recovery Clinic.

The provider's business location address is:

2000 FAIRFIELD AVE
SHREVEPORT, LA
ZIP 71104-002
Phone: (318) 222-8511
Fax: (318) 222-3273

The provider's authorized official is William Rose .
The authorized official title is Executive Director and has the following contact phone number (318) 222-8511.

The enumeration date for this NPI number is 1/28/2016 and was last updated on 1/12/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health276LOUISIANANo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3261Q00000XClinic/Center276LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13571455MEDICAIDLOUISIANA

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: 4/28/2024

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