NEW LEAF BEHAVIORAL HEALTH CLINICIANS, LLC


Address: 2905 Fiske Street, Lake Charles, LA 70601-8550
Phone: 3374761338

NEW LEAF BEHAVIORAL HEALTH CLINICIANS, LLC (NPI# 1255941902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255941902
Entity Type Organization
Organization Name NEW LEAF BEHAVIORAL HEALTH CLINICIANS, LLC
Practice Address 2905 Fiske Street
Lake Charles
LA 70601-8550
Practice Telephone 3374761338
Mailing Telephone 3374761338
Enumeration Date 2020-08-07
Last Update Date 2020-08-07
Authorized Official Name MR. HORATIO ACQUINALDO MILLIN JR. (OWNER/MANAGER)
Authorized Official Telephone 3374761338
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name NEW LEAF BEHAVIORAL HEALTH CLINICIAN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1049085 05

Other Provider/Organization Names

Other Name Type Code
HESED Medical Doing Business As Name - Organization

Office Location

Street Address 2905 FISKE STREET
City LAKE CHARLES
State LA
Zip Code 70601-8550

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801349238 Access Serenity of Mississippi LLC Psychiatry & Neurology 4815 Ihles Rd, Lake Charles, LA 70605-5900 2016-08-02
1316203243 Murphy Cantu Psychiatry Group LLC Psychiatry & Neurology 4501 Autumnwood Ln, Lake Charles, LA 70605-5453 2012-04-04
1679602932 Said Cantu Psychiatry & Neurology 2829 4th Avenue, Lake Charles, LA 70601 2007-03-05
1336249762 Ramin Shahla Psychiatry & Neurology 2837 Ernest Street, Calcacien Oak Hospital, Lake Charles, LA 70601 2006-09-25
1518071802 Horatio Millin Psychiatry & Neurology 977 Baywood Dr, Lake Charles, LA 70611 2006-08-17
1073548756 Paul Keith Nabours Psychiatry & Neurology 3700 5th Ave, Lake Charles, LA 70607-2134 2006-07-11
1760464796 Charles A Murphy IIi Psychiatry & Neurology 2829 4th Ave, 150, Lake Charles, LA 70601-7887 2005-11-16
1326020330 Ehtesham U Syed Psychiatry & Neurology 324 W Hale St, Lake Charles, LA 70601-8439 2005-11-16
1780685024 Brian W Mooney Psychiatry & Neurology 100 S Ryan St, Lake Charles, LA 70601-5951 2005-08-09
1164423570 Lake Area Psychiatry LLC Psychiatry & Neurology 333 S Ryan St, Suite 220, Lake Charles, LA 70601-5951 2005-08-09
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Competitor

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City LAKE CHARLES
Zip Code 70601

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Dataset Information

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.

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