Provider Demographics
NPI:1629218375
Name:DEPARTMENT OF HEALTH & HOSPITALS
Entity Type:Organization
Organization Name:DEPARTMENT OF HEALTH & HOSPITALS
Other - Org Name:MONROE ASSESSMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OAD REGIONAL ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-362-3270
Mailing Address - Street 1:2513 FERRAND ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3210
Mailing Address - Country:US
Mailing Address - Phone:318-362-3270
Mailing Address - Fax:318-362-3268
Practice Address - Street 1:2513 FERRAND ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3210
Practice Address - Country:US
Practice Address - Phone:318-362-3270
Practice Address - Fax:318-362-3268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALAC#874101YA0400X
LALPC#3353101YP2500X
LALCSW#58051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty