COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA (NPI# 1699955815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699955815 |
| Entity Type | Organization |
| Organization Name | COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA |
| Practice Address |
2000 Fairfield Avenue Shreveport LA 71104 |
| Practice Telephone | 3182228511 |
| Practice Fax Number | 3182125565 |
| Mailing Telephone | 3182228511 |
| Mailing Fax Number | 3182125565 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | DONNA POSEY (DIRECTOR OF HR/ACCOUNTING) |
| Authorized Official Telephone | 3182228511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 238 | LA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1891154910 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Substance Abuse Rehabilitation Facility | 2000 Fairfield Ave, Shreveport, LA 71104-2002 | 2016-02-17 |
| Street Address |
2000 FAIRFIELD AVENUE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306316088 | William Rose | Counselor | 2000 Fairfield Avenue, Shreveport, LA 71104 | 2018-11-26 |
| 1053880963 | Robert Dean | Counselor | 2000 Fairfield Avenue, Shreveport, LA 71104 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588134985 | Whispering Oaks Lodge | Substance Abuse Rehabilitation Facility | 910 Pierremont Rd Ste 103, Shreveport, LA 71106-2058 | 2018-11-28 |
| 1528555018 | Forever Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 910 Pierremont Rd Ste 311, Shreveport, LA 71106-2058 | 2018-04-19 |
| 1275050049 | Resilient House, LLC | Substance Abuse Rehabilitation Facility | 7020 Klug Pines Rd, Shreveport, LA 71129-3300 | 2017-08-23 |
| 1740650647 | Mission Improve Care Addiction Housing Inc. | Substance Abuse Rehabilitation Facility | 10086 Pine Orchard Rd, Shreveport, LA 71129-8784 | 2015-10-05 |
| 1245505593 | Centerpoint Pines Treatment Center | Substance Abuse Rehabilitation Facility | 6325 Bocage Dr, Shreveport, LA 71119-6228 | 2012-03-20 |
| 1811512262 | Uprising Addiction Center, LLC | Substance Abuse Rehabilitation Facility | 7020 Klug Pines Rd, Shreveport, LA 71129-3300 | 2020-06-11 |
| 1215448931 | New Day Recovery LLC | Substance Abuse Rehabilitation Facility | 6240 Greenwood Rd, Shreveport, LA 71119-8413 | 2017-10-20 |
| 1891154910 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Substance Abuse Rehabilitation Facility | 2000 Fairfield Ave, Shreveport, LA 71104-2002 | 2016-02-17 |
| 1346515699 | Center Point, Inc Pines Treatment Center | Substance Abuse Rehabilitation Facility | 6240 Greenwood Rd, Shreveport, LA 71119-8413 | 2012-03-20 |
| 1083988315 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 6240 Greenwood Rd, Shreveport, LA 71119-8413 | 2012-03-05 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA.
| 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.