| Northeast Delta Human Services Authority | |
|
1012 Johnson St Tallulah LA 71282-5216 | |
| (318) 574-1713 | |
| (381) 574-2299 |
| Full Name | Northeast Delta Human Services Authority |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1012 Johnson St, Tallulah, Louisiana |
| Authorized Official Name and Position | Octavia Green (ADMINSITRATIVE PROGRAM SPECIALIST B) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Delta Human Services Authority 1012 Johnson St Tallulah LA 71282-5216 Ph: (318) 574-1713 | Northeast Delta Human Services Authority 1012 Johnson St Tallulah LA 71282-5216 Ph: (318) 574-1713 |
| NPI Number | 1689016487 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689016487 | NPI | - | NPPES |
| 1710351 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2203782765 (Louisiana) | Primary |
Willpower Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Kimbrough Blvd Bldg Q, Tallulah, LA 71282 Phone: 318-574-4400 Fax: 318-574-4400 | |
Cognitive Development Center Of Monroe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E Askew St, Tallulah, LA 71282 Phone: 318-574-1232 | |
Willpower Behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Snyder St Ste 108, Tallulah, LA 71282 Phone: 318-574-4400 Fax: 318-574-4407 | |
Delta Community Action Association Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 E Craig St, Tallulah, LA 71282 Phone: 318-574-4164 Fax: 318-574-4164 | |
Cognitive Development Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 319-574-1232 | |
Department Of Health And Hospitals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 Johnson St, Tallulah, LA 71282 Phone: 318-574-1713 Fax: 318-574-2299 | |
Cognitive Development Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232 Fax: 318-574-8646 |