Provider Demographics
NPI:1508883547
Name:DEPT OF HEALTH & HOSPITALS
Entity Type:Organization
Organization Name:DEPT OF HEALTH & HOSPITALS
Other - Org Name:PLAQUEMINES BEHAVIORAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OAD FACILITY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:MED LPC, NCC
Authorized Official - Phone:504-393-5624
Mailing Address - Street 1:3708 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-3002
Mailing Address - Country:US
Mailing Address - Phone:504-393-5624
Mailing Address - Fax:504-393-5633
Practice Address - Street 1:3708 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-3002
Practice Address - Country:US
Practice Address - Phone:504-393-5624
Practice Address - Fax:504-393-5633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA160101YA0400X
LA18001041C0700X
LA29531041C0700X
LARN0728473104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances