Organization · Type 2 NPI
Department of Health and Hospitals
Addiction Medicine (Family Medicine) Physician · Pineville, LA
NPI number
1306800289
Active
Practice location
242 West Shamrock, Unit 1
Pineville, LA 71360
Fax (318) 488-6844
Mailing address
PO Box 7473
Alexandria, LA 71306-7473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC 592 (LA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC # 904 (LA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC #713 (LA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RAC #1340 (LA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC #1330 (LA) |
| Clinical Social Worker | 1041C0700X | RSW # 7478 (LA) |
| Clinical Social Worker | 1041C0700X | LMSW #4870 (LA) |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN #055444 (LA) |
| Licensed Practical Nurse | 164W00000X | LPN # 850513 (LA) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | MD 017125 (LA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
12 other providers at this address
- Angela Duncan-AyoMental Health Counselor Pineville, LA NPI 1588785737
- Darnita MetoyerMental Health Counselor Pineville, LA NPI 1427170463
- Dianna LefloreMental Health Counselor Pineville, LA NPI 1801918834
- Jeff Linzay, RPHPharmacist Pineville, LA NPI 1447477013
- Kimberly HaywardMental Health Counselor Pineville, LA NPI 1679694681
- Nadine GaspardMental Health Counselor Pineville, LA NPI 1073634002
- Priscilla StrangeMental Health Counselor Pineville, LA NPI 1477674489
- Stephanie M. Turnage, R.N.Registered Nurse Pineville, LA NPI 1740457688
- Terence E. Cooper, C.I.T.Addiction (Substance Use Disorder) Counselor Pineville, LA NPI 1962670331
- Terrence Williams, M.S..WSocial Worker Pineville, LA NPI 1447303763
- Vontrecia SewellMental Health Counselor Pineville, LA NPI 1972625929
- William Calvit Bankston Jr., LCSWClinical Social Worker Pineville, LA NPI 1750512083
About NPI 1306800289
Department of Health and Hospitals's National Provider Identifier is 1306800289, issued on Apr 17, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Pineville, LA. The record was last updated on Jul 28, 2011.