FAMILY NEW LIFE BASTROP LLC (NPI# 1336471796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336471796 |
| Entity Type | Organization |
| Organization Name | FAMILY NEW LIFE BASTROP LLC |
| Practice Address |
200 Mccreight St Bastrop LA 71220-3955 |
| Mailing Address |
1705 Washington St Monroe LA 71201-7046 |
| Practice Telephone | 3185564081 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | MRS. ADRIAN WILLIAMS (ADMINISTRATOR) |
| Authorized Official Telephone | 3183258050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
200 MCCREIGHT ST |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962061267 | Crayton Counseling and Consulting LLC | Community/Behavioral Health | 2025 Antares Dr, Bastrop, LA 71220-3452 | 2019-06-10 |
| 1225526734 | People United of Louisiana LLC | Community/Behavioral Health | 406 Tisdale Dr, Bastrop, LA 71220-3747 | 2018-04-30 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1376088690 | Bethea and Mcneal Behavioral Health Center LLC | Community/Behavioral Health | 651 E Madison Ave, Bastrop, LA 71220-3833 | 2016-12-21 |
| 1306225867 | Abounding Grace Community Services, Inc. | Community/Behavioral Health | 202 N Vine St, Bastrop, LA 71220-3749 | 2015-05-29 |
| 1447396247 | Riversouth Rehabilitation Center, Inc. | Community/Behavioral Health | 410 S Franklin St, Bastrop, LA 71220-4533 | 2007-01-29 |
| 1346781150 | Better Day Advocates, LLC | Community/Behavioral Health | 644 E Jefferson Ave, Suite B, Bastrop, LA 71220-4619 | 2017-03-13 |
| 1558728147 | First Choice Counseling, LLC | Community/Behavioral Health | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2016-01-27 |
| 1689030538 | Healthy Minds | Community/Behavioral Health | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2016-01-07 |
| 1922484500 | Healthy Minds | Community/Behavioral Health | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2015-08-05 |
| Find all providers in BASTROP | ||||
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| 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.