CENTER FOR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES (NPI# 1073082780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073082780 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES |
| Practice Address |
252 Hector Ave Ste A Gretna LA 70056-2548 |
| Mailing Address |
Po Box 1756 Gretna LA 70054-1756 |
| Practice Telephone | 5044173728 |
| Mailing Telephone | 5044351444 |
| Mailing Fax Number | 5043722775 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | MS. MARY ESTHER MARTINEZ (CEO) |
| Authorized Official Telephone | 5044173728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | AMERIHEALTH CARITAS LOUISIANA | AMERI | 01 |
| LA | HUMANA | HUM | 01 |
| LA | MCAID | 05 | |
| LA | HUMANA | HUMAN | 01 |
| LA | UNITED HEALTHCARE COMMUNITY PLAN | UHC | 01 |
| LA | AETNA BETTER HEALTH OF LOUISIANA | AETNA | 01 |
| LA | HEALTHY BLUE | HB | 01 |
| LA | LA. HEALTHCARE CONNECTIONS | LHC | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3301 Canal St, New Orleans, LA 701196247 | 5046442575 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES | 805 Derbigny St, Gretna, LA 70053-6119 |
| Street Address |
252 HECTOR AVE STE A |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942709431 | Andrew Arnold Lettow | Counselor | 252 Hector Ave Ste A, Gretna, LA 70056-2548 | 2018-02-09 |
| 1851854228 | Troylyncia Lebrane | Counselor | 252 Hector Ave Ste A, Gretna, LA 70056-2548 | 2019-04-11 |
| 1336602333 | Joyy Jermaine Joseph | Counselor | 252 Hector Ave Ste A, Gretna, LA 70056-2548 | 2019-04-08 |
| 1952863284 | Brandy Preatto | Counselor | 252 Hector Ave Ste A, Gretna, LA 70056-2548 | 2019-04-04 |
| 1952863243 | Ian Matthew Dermody | Counselor | 252 Hector Ave Ste A, Gretna, LA 70056-2548 | 2019-04-04 |
| 1982166294 | Amber Perry | Registered Nurse | 252 Hector Ave Ste A, Gretna, LA 70056-2548 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862720 | Synergy Wellness Solutions, LLC | Clinic/Center | 1500 Lafayette St Ste 141, Gretna, LA 70053-5758 | 2017-03-16 |
| 1114150976 | Ochsner Clinic LLC | Clinic/Center | 441 Wall Blvd, Gretna, LA 70056-7723 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050005 | Ochsner-acadia, LLC | Clinic/Center | 502 Rue De Sante Ste 203, La Place, LA 70068-5424 | 2020-10-15 |
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1487291944 | Sc Rehab | Clinic/Center | 1810 Florida Ave Sw Ste A, Denham Springs, LA 70726-4930 | 2019-12-04 |
| 1063071918 | Medical Pioneers, LLC | Clinic/Center | 100 Mariners Blvd Ste 1b, Mandeville, LA 70448-6815 | 2019-06-12 |
| 1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
| 1356808430 | Cenikor Foundation | Clinic/Center | 2414 Bunker Hill Dr Ste 100, Baton Rouge, LA 70808-3303 | 2019-02-26 |
| 1063983799 | Accessible Walk-in Clinic | Clinic/Center | 1206 J W Davis Dr Ste 102, Hammond, LA 70403-5953 | 2018-12-06 |
| 1235616194 | Pathways Addiction Recovery, LLC | Clinic/Center | 3801 Houma Blvd Ste 100, Metairie, LA 70006-4185 | 2018-07-24 |
| 1063915866 | Gulf Coast Medical Center | Clinic/Center | 51 Holmes Blvd Ste A, Terrytown, LA 70056-2592 | 2018-03-18 |
| 1437660115 | Edge Medical Services Inc. | Clinic/Center | 2100 E 70th St, Shreveport, LA 71105-5363 | 2017-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.