NORTHEAST DELTA HUMAN SERVICES AUTHORITY (NPI# 1588006399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588006399 |
| Entity Type | Organization |
| Organization Name | NORTHEAST DELTA HUMAN SERVICES AUTHORITY |
| Practice Address |
3200 Concordia Ave Monroe LA 71201-5113 |
| Practice Telephone | 3183625188 |
| Practice Fax Number | 3183625215 |
| Mailing Telephone | 3183625188 |
| Mailing Fax Number | 3183625215 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-01-04 |
| Authorized Official Name | MS. MARTHA PHILLIPS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3183625188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
2203782610-A | LA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639511256 | Northeast Delta Human Services Authority | Clinic/Center | 451 E Madison Ave, Bastrop, LA 71220 | 2013-07-24 |
| 1578905386 | Northeast Delta Human Services Authority | Clinic/Center | 1301 Landis St Ste B, Winnsboro, LA 71295-2642 | 2013-07-22 |
| 1952733156 | Northeast Delta Human Services Authority | Clinic/Center | 5159 Highway 4 E, Columbia, LA 71418-3580 | 2013-07-30 |
| 1033541230 | Northeast Delta Human Services Authority | Clinic/Center | 602 E Georgia Ave, Ruston, LA 71270-3931 | 2013-07-30 |
| 1689016487 | Northeast Delta Human Services Authority | Clinic/Center | 1012 Johnson St, Tallulah, LA 71282-5216 | 2013-07-22 |
| 1033551833 | Northeast Delta Human Services Authority | Clinic/Center | 4800 S Grand St, Monroe, LA 71202-6412 | 2013-07-22 |
| Street Address |
3200 CONCORDIA AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71201-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467486399 | Carmen Nmi Marsala | Counselor | 3200 Concordia Ave, Monroe, LA 71201 | 2006-07-10 |
| 1649403783 | Debbie Kincaid Mccoy | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2009-08-24 |
| 1710149810 | Monroe Addictive Disorder Clinic | Substance Abuse Rehabilitation Facility | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2008-06-30 |
| 1740442169 | Monroe Addictive Disorders Clinic | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2008-06-26 |
| 1194923185 | Stephanie M. Marshall | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2007-07-11 |
| 1962586545 | Mabellen S. Bradley | Registered Nurse | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2006-10-24 |
| 1225110638 | Greta Mccaa Wiley | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2006-10-19 |
| 1902817190 | Eric Eldridge Brown | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2006-08-11 |
| 1003834417 | Mary Louise Lewis | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| 1093357113 | Wellness Initiatives LLC | Clinic/Center | 2485 Tower Dr Ste 10, Monroe, LA 71201-5769 | 2019-10-09 |
| 1942670336 | Milestone Recovery LLC | Clinic/Center | 2001 Walnut Ln, Monroe, NC 28112-7333 | 2015-09-29 |
| 1295176964 | Firm Foundations Family Counseling, LLC | Clinic/Center | 2101 Forsythe Ave, Monroe, LA 71201-3642 | 2013-07-10 |
| 1679877534 | Adamu Salisu, Md Pllc | Clinic/Center | 200 E Jefferson St, Monroe, NC 28112-4863 | 2011-01-06 |
| 1124356910 | Southern Center for Children and Families, Inc. | Clinic/Center | 622 Riverside Dr, Monroe, LA 71201-6211 | 2009-12-07 |
| 1790975068 | The Health and Wellness Center | Clinic/Center | 1106 Stubbs Ave, Stuite B, Monroe, LA 71201-5620 | 2007-08-01 |
| 1689864209 | Sitara Medical Inc Ps | Clinic/Center | 14841 179th Ave Se Ste 210, Monroe, WA 98272-1127 | 2007-07-30 |
| 1669689634 | Riversouth Rehabilitation Center,inc. | Clinic/Center | 1010 N 9th St, Monroe, LA 71201-5513 | 2007-05-17 |
| 1306062856 | Chemical Dependency Services, Inc | Clinic/Center | 308 W. Windsor Street, Monroe, NC 28112-4779 | 2007-04-17 |
| Find all providers in MONROE | ||||
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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.