YOUTH SERVICE BUREAU OF ST TAMMANY (NPI# 1245516897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245516897 |
| Entity Type | Organization |
| Organization Name | YOUTH SERVICE BUREAU OF ST TAMMANY |
| Other Organization Name | YOUTH SERVICE BUREAU |
| Practice Address |
150 Cleveland Ave Slidell LA 70458-3920 |
| Mailing Address |
430 N New Hampshire St Covington LA 70433-2830 |
| Practice Telephone | 9856435746 |
| Practice Fax Number | 9858932570 |
| Mailing Telephone | 9858932570 |
| Mailing Fax Number | 9858932758 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | ILA DIETERICH (PRESIDENT & CEO) |
| Authorized Official Telephone | 9858932570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 194A | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1434001 | 05 |
| Other Name | Type Code |
|---|---|
| Youth Service Bureau | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538445176 | Youth Service Bureau of St Tammany | Community/Behavioral Health | 430 N New Hampshire St, Covington, LA 70433-2830 | 2011-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YOUTH SERVICE BUREAU OF ST TAMMANY PARIS | 430 N New Hampshire St, Covington, LA 70433-2830 |
| Street Address |
150 CLEVELAND AVE |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417306689 | Mary Walden | Counselor | 150 Cleveland Ave, Slidell, LA 70458-3920 | 2016-06-08 |
| 1740639475 | Lesley Mcmullen | Counselor | 150 Cleveland Ave, Slidell, LA 70458-3920 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467921163 | Sabrina D Marsh | Community/Behavioral Health | 7216 Oakpoint Dr, Slidell, LA 70460-3978 | 2018-11-26 |
| 1114464476 | Ain Greenaway | Community/Behavioral Health | 550 Old Spanish, Slidell, LA 70458 | 2017-01-25 |
| 1962866087 | Anointed Appointment | Community/Behavioral Health | 1927 Corporate Square Dr Ste C, Slidell, LA 70458-3166 | 2016-04-06 |
| 1336500149 | Jubilee Counseling Service | Community/Behavioral Health | 59496 Vincent St, Slidell, LA 70460-5032 | 2016-03-08 |
| 1184080020 | Suncrest Behavioral Health Services | Community/Behavioral Health | 200 Rue Jonathan, Slidell, LA 70461-5438 | 2016-01-07 |
| 1548631351 | Caring Hearts Professional Health Services | Community/Behavioral Health | 1349 Corporate Square Dr, Suite 2, Slidell, LA 70458-3157 | 2015-10-19 |
| 1831567171 | Footprints for Life Youth and Family Services LLC | Community/Behavioral Health | 1040 Old Spanish Trl Suite 10, Slidell, LA 70461 | 2015-09-03 |
| 1518238021 | Lisa Schlater Rivarde | Community/Behavioral Health | 3628 Meadowdale Dr, Slidell, LA 70458-4718 | 2012-01-16 |
| 1265748693 | Abundant Health, Inc. | Community/Behavioral Health | 2053 Gause Blvd E, Suite 150, Slidell, LA 70461-5449 | 2010-08-23 |
| 1750537833 | Alison Johnston LLC | Community/Behavioral Health | 102 Village St Ste C, Slidell, LA 70458-5354 | 2008-08-08 |
| Find all providers in SLIDELL | ||||
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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.