EPIPHANY HEALTHCARE OF HAMMOND


Address: 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403
Phone: 9859567370

EPIPHANY HEALTHCARE OF HAMMOND (NPI# 1477041630) 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) 1477041630
Entity Type Organization
Organization Name EPIPHANY HEALTHCARE OF HAMMOND
Practice Address 906 Cm Fagan Drive Bldg A Ste 6a
Hammond
LA 70403
Practice Telephone 9859567370
Practice Fax Number 9859567371
Mailing Telephone 9852224050
Mailing Fax Number 9859567371
Enumeration Date 2018-04-24
Last Update Date 2018-08-22
Authorized Official Name MR. CHRISTOPHER MOORE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9852224050
Authorized Official Credential CEO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
2203783830 LA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417434606 Epiphany Healthcare of Hammond Registered Nurse 11059 Phylliss Ln, Hammond, LA 70401-1102 2018-07-20

Office Location

Street Address 906 CM FAGAN DRIVE BLDG A STE 6A
City HAMMOND
State LA
Zip Code 70403

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366074403 Elizabeth M Norman Nurse Practitioner 19065 Dr John Lambert Drive, Hammond, LA 70403 2020-02-06
1942830757 Trinity Wellness Counseling LLC. Social Worker 43171 Tillman Dr, Hammond, LA 70403 2020-01-21
1407419138 Cypress Pointe Urgent Care, LLC Clinic/Center 19065 Dr. John Lambert Drive, Hammond, LA 70403 2019-04-18
1700341724 Taylor Kioria Johnson Specialist/Technologist 40151 Macedonia Rd, Hammond, LA 70403 2019-02-04
1912478264 Julean Marie Walters Behavioral Analyst 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 2018-12-16
1659849263 Andie Street Speech-Language Pathologist 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 2018-11-13
1932684701 Kurt Edwin Dichiara Chiropractor 1330 S Magnolia St, Suite B, Hammond, LA 70403 2018-09-27
1225529175 Heart To Heart Counseling & Counseling Social Worker 30430 Dawson Ln, Hammond, LA 70403 2018-05-27
1457850158 Dynamic Performance Chiropractic of Hammond Chiropractor 1330 South Magnolia, Suite B, Hammond, LA 70403 2018-02-08
1134628118 Adrienne Nicole Chambers Case Manager/Care Coordinator 1417 W. Morris Ave, Ste. E, Hammond, LA 70403 2018-02-06
Find all providers in zip 70403

Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043264351 Ness Healthcare Nfp Psychiatry & Neurology 23515 Hwy 190, Mandeville, LA 70448 2006-05-20
1912950957 Jeri Lynn Rasch Psychiatry & Neurology 6005 Financial Plz, Shreveport, LA 71129-2615 2006-05-19
1790751642 Connie Hale Psychiatry & Neurology 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 2006-02-28
1790774081 Tawfik M. Mukhtar-benghozi Psychiatry & Neurology 5920 Coliseum Blvd., Alexandria, LA 71303-3714 2005-10-19
1922546035 Browers, LLC Psychiatry & Neurology 4933 Wabash St, Metairie, LA 70001-1031 2017-02-09
1912226697 Olufemi Ademola Ogundeji Psychiatry & Neurology 1006 Highland Ave, Brentwood Hospital, Shreveport, LA 71101-4103 2010-05-20
1528254257 Acadia Hospital of Lafayette, LLC Psychiatry & Neurology 2520 N University Ave, Lafayette, LA 70507-5306 2007-09-17
1699700880 George W. Diggs Jr. Psychiatry & Neurology 302 Dulles Dr, Suite 1, Lafayette, LA 70506-3008 2006-07-12

Competitor

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City HAMMOND
Zip Code 70403

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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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