COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA (NPI# 1891152328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891152328 |
| Entity Type | Organization |
| Organization Name | COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA |
| Other Organization Name | CADA ADDICTION RECOVERY CLINIC |
| Practice Address |
2000 Fairfield Ave Shreveport LA 71104 |
| Mailing Address |
2000 Fairfield Ave Shreveport LA 71104-2002 |
| Practice Telephone | 3182228511 |
| Mailing Telephone | 3182228511 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-07-29 |
| Authorized Official Name | BILL ROSE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3182228511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 276 | LA | Agencies |
| Y | 261Q00000X | Clinic/Center | 276 | LA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CADA Addiction Recovery Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699955815 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Substance Abuse Rehabilitation Facility | 2000 Fairfield Avenue, Shreveport, LA 71104 | 2007-11-05 |
| 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 AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532649 | Lloyd Walter Abney | Counselor | 2000 Fairfield Ave, Shreveport, LA 71104-2099 | 2020-03-03 |
| 1043873631 | Jody Lowery Waldo | Counselor | 2000 Fairfield Ave, Shreveport, LA 71104-2099 | 2019-04-18 |
| 1750843207 | Shawnene Weeks | Social Worker | 2000 Fairfield Ave, Shreveport, LA 71104-2099 | 2019-04-03 |
| 1053822296 | Brenda Ann Whitfield | Counselor | 2000 Fairfield Ave, Shreveport, LA 71104-2002 | 2017-10-16 |
| 1316458748 | Elliot Jxavier Lewis | Counselor | 2000 Fairfield Ave, Shreveport, LA 71104-2002 | 2017-10-12 |
| 1316457971 | Claire Conerly Madden | Counselor | 2000 Fairfield Ave, Shreveport, LA 71104-2002 | 2017-10-09 |
| 1942710603 | Ryan Lee Pommier | Counselor | 2000 Fairfield Ave, Shreveport, LA 71104-2002 | 2017-10-09 |
| 1285144873 | Lucille B Hayward | Counselor | 2000 Fairfield Ave, Shreveport, LA 71104-2002 | 2017-10-09 |
| 1891154910 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Substance Abuse Rehabilitation Facility | 2000 Fairfield Ave, Shreveport, LA 71104-2002 | 2016-02-17 |
| 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 |
| 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 |
| 1114398708 | Carolyn Morris | Case Manager/Care Coordinator | 640 Prospect St Apt 1, Shreveport, LA 71104 | 2015-10-08 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432970 | Genetics Collection LLC | Clinic/Center | 214 W 70th St Ste 205, Shreveport, LA 71106-3756 | 2020-09-17 |
| 1992219836 | Gallego Health | Clinic/Center | 115 Hallette Dr, Shreveport, LA 71115-2959 | 2017-11-30 |
| 1265772586 | Walter Asseff | Clinic/Center | 2014 Beth Ln, Shreveport, LA 71118-2708 | 2013-02-23 |
| 1861671869 | Mid-city Family Clinic, LLC | Clinic/Center | 838 Margaret Pl, Shreveport, LA 71101-4509 | 2007-10-26 |
| 1447360524 | Ross H Dies Dds and J Cody Cowen Dds A Dental LLC | Clinic/Center | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118 | 2006-08-30 |
| 1679594782 | Premier Care and Learning Center, Inc | Clinic/Center | 2110 Hollywood Ave, Shreveport, LA 71108-3922 | 2006-07-22 |
| 1932181054 | The Arthritis & Rheumatology Clinic, A Medical Corporation | Clinic/Center | 740 Jordan St, Shreveport, LA 71101-4616 | 2005-11-15 |
| 1285635540 | Louisiana State University Health Sciences Center Viral Disease Clini | Clinic/Center | 6670 Saint Vincent Ave, Shreveport, LA 71106-2638 | 2005-08-09 |
| 1871083162 | The Healing Clinic, LLC | Clinic/Center | 745 Olive St Ste 109, Shreveport, LA 71104-2250 | 2018-05-14 |
| 1427490937 | Bombinamd LLC | Clinic/Center | 4140 Hollywood Ave, Suite B-2, Shreveport, LA 71109-7818 | 2013-07-25 |
| 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.