ASHLEY MCCOY


Address: 124 Clyde Day Rd, Deridder, LA 70634-5876
Phone: 5303683211

ASHLEY MCCOY (NPI# 1689121733) 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) 1689121733
Entity Type Organization
Organization Name ASHLEY MCCOY
Practice Address 124 Clyde Day Rd
Deridder
LA 70634-5876
Practice Telephone 5303683211
Mailing Telephone 5303683211
Enumeration Date 2016-09-07
Last Update Date 2016-09-07
Authorized Official Name ASHLEY E MCCOY (THERAPIST)
Authorized Official Telephone 5303683211
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
90420 CA Ambulatory Health Care Facilities
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
90420 CA Ambulatory Health Care Facilities

Office Location

Street Address 124 CLYDE DAY RD
City DERIDDER
State LA
Zip Code 70634-5876

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1235638222 Melanie Welch, Fnp, LLC Nurse Practitioner 1420 Blankenship Dr., Deridder, LA 70634 2018-02-06
1265976617 Jennifer Dianne Midgett Nurse Practitioner 2581 Highway 190 W, Deridder, LA 70634 2016-12-05
1821419334 Beauregard Hematolog & Oncology Internal Medicine 301 S. Washington St., Ste B, Deridder, LA 70634 2013-12-31
1982835013 Kathern Sue Hollifield Physical Therapist 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 2009-08-06
1750541777 Tracy Winkley Physical Therapist 1744 Ball Rd, Deridder, LA 70634 2008-06-12
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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1538708326 Satorry Mczeal Clinic/Center 2618 Acacia St, New Orleans, LA 70122-5916 2019-12-27
1033682802 Genesis Specialty Groups, LLC Clinic/Center 778 Chevelle Drive, Baton Rouge, LA 70806 2019-01-04
1669997698 Fleur Des Maisons Clinic/Center 2223 Franklin Ave, New Orleans, LA 70117-6929 2017-08-10
1285093922 Live Oak Behavioral Health Group, L.L.C. Clinic/Center 7084 Cemetary Hwy, At Live Oak Landing, Saint Martinville, LA 70582-7900 2016-02-22
1598135535 Abundant Care Center Clinic/Center 12855 Castle Hill Dr, Baton Rouge, LA 70814-7426 2015-10-02
1821470188 Ebony C Jackson LLC Clinic/Center 23791 Southpoint Dr, Denham Springs, LA 70726-6856 2015-06-23
1598180275 Peep Inc. Clinic/Center 1411 Orange St, Monroe, LA 71202-2323 2014-03-04
1093092694 H & B Caring Clinic/Center 1009 Clara St, Jennings, LA 70546-5129 2011-11-10
1821225996 Emerson Centre, Inc. Clinic/Center 301 E Alabama Ave, Ruston, LA 71270-3981 2009-06-16
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Competitor

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City DERIDDER
Zip Code 70634

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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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