JENNINGS BEHAVIORAL HEALTH LLC NPI 1891947479

NPI Information

NPI: 1891947479
Provider Name: JENNINGS BEHAVIORAL HEALTH, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
110 E DARBONNE ST
SULPHUR, LA
ZIP 70663
Phone: (337) 527-7878
Get Directions

JENNINGS BEHAVIORAL HEALTH, LLC is a psychiatric/mental health nurse practitioner in Sulphur, LA. JENNINGS BEHAVIORAL HEALTH, LLC NPI is 1891947479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 E DARBONNE ST
SULPHUR, LA
ZIP 70663-958
Phone: (337) 527-7878
Fax: (337) 527-7880

The provider's authorized official is Stacy Gaudet .
The authorized official title is Mgr Sulphur Outpatient Clinic and has the following contact phone number (337) 527-7878.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/15/2008.

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
1	103T00000X	Psychologist		1055	LOUISIANA	No
2	1041C0700X	Social Worker	Clinical	8971	LOUISIANA	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	021615	LOUISIANA	No
4	208D00000X	General Practice		014484R	LOUISIANA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP 05359	LOUISIANA	Yes

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
1	5C425	OTHER	LOUISIANA	MEDICARE
2	1949744	MEDICAID	LOUISIANA

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

NPI Synchronization or Removal

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