| Monroe Behavioral Health Clinic | |
|
4800 S Grand St Monroe LA 71202-6412 | |
| (318) 362-3339 | |
| (318) 362-3336 |
| Full Name | Monroe Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4800 S Grand St, Monroe, Louisiana |
| Authorized Official Name and Position | Octavia Green (ADMINISTRATIVE PROGRAM SPECIALIST B) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Behavioral Health Clinic 4800 S Grand St Monroe LA 71202-6412 Ph: (318) 362-3339 | Monroe Behavioral Health Clinic 4800 S Grand St Monroe LA 71202-6412 Ph: (318) 362-3339 |
| NPI Number | 1033551833 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 2961726005 |
|---|---|
| Medicare Enrollment ID | O20150121001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033551833 | NPI | - | NPPES |
| 1710237 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2203782610 (Louisiana) | Primary |
| Provider Name | Lionel Guillaume |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619946001 PECOS PAC ID: 8628056157 Enrollment ID: I20051003000327 |
| Provider Name | William P Ledford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295747269 PECOS PAC ID: 2860595782 Enrollment ID: I20070314000442 |
| Provider Name | Fred Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184811960 PECOS PAC ID: 7315034238 Enrollment ID: I20071024000522 |
| Provider Name | Angela Ekeresi Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114196995 PECOS PAC ID: 0547386054 Enrollment ID: I20100921001432 |
| Provider Name | Erin M Stanton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750547147 PECOS PAC ID: 1254501729 Enrollment ID: I20110822000004 |
| Provider Name | Mary J Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336288000 PECOS PAC ID: 3678747243 Enrollment ID: I20111116000411 |
| Provider Name | Michael Hunter Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417994690 PECOS PAC ID: 4486672151 Enrollment ID: I20120801000686 |
| Provider Name | Martha A Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730578303 PECOS PAC ID: 4385961234 Enrollment ID: I20150522000516 |
| Provider Name | Andrea Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962541730 PECOS PAC ID: 9234495995 Enrollment ID: I20171113002544 |
| Provider Name | Ladolpha P Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407363880 PECOS PAC ID: 5991057697 Enrollment ID: I20181008002302 |
| Provider Name | Keith Westerfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376866848 PECOS PAC ID: 8921123563 Enrollment ID: I20190401001041 |
| Provider Name | Anissa J Horne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083066633 PECOS PAC ID: 4183057839 Enrollment ID: I20191210002926 |
| Provider Name | Amy B Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396074886 PECOS PAC ID: 3779877279 Enrollment ID: I20210312000713 |
| Provider Name | Angelisa Strayhan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518479815 PECOS PAC ID: 9830593557 Enrollment ID: I20210803001507 |
| Provider Name | Victoria P Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326353442 PECOS PAC ID: 2567851348 Enrollment ID: I20211117000120 |
| Provider Name | Danielle Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639571896 PECOS PAC ID: 4789971326 Enrollment ID: I20230206001337 |
| Provider Name | Jessica Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285016964 PECOS PAC ID: 1456653849 Enrollment ID: I20230210000434 |
| Provider Name | James Melna |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134848294 PECOS PAC ID: 9931557907 Enrollment ID: I20231130004072 |
| Provider Name | Katina Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193563 PECOS PAC ID: 9931557725 Enrollment ID: I20231205001805 |
| Provider Name | Ella Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548522857 PECOS PAC ID: 7618064486 Enrollment ID: I20231208000155 |
| Provider Name | Monetta Givens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649387671 PECOS PAC ID: 4385088319 Enrollment ID: I20240219001144 |
| Provider Name | Christopher Waters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720396328 PECOS PAC ID: 4385092253 Enrollment ID: I20240219002532 |
| Provider Name | Christardra Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942269394 PECOS PAC ID: 1658729512 Enrollment ID: I20240219002914 |
| Provider Name | Kinyada Gipson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326494410 PECOS PAC ID: 9739537820 Enrollment ID: I20240220000982 |
| Provider Name | Deborah Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073909065 PECOS PAC ID: 8325496516 Enrollment ID: I20240220001137 |
| Provider Name | Danielle Kroper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710581103 PECOS PAC ID: 5496103582 Enrollment ID: I20240220001313 |
| Provider Name | Jessica N Merrells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649645946 PECOS PAC ID: 7719335850 Enrollment ID: I20240220001429 |
| Provider Name | Jillian Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013372168 PECOS PAC ID: 2466800800 Enrollment ID: I20240220001546 |
| Provider Name | Karen Underwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336614569 PECOS PAC ID: 1254775018 Enrollment ID: I20240220002619 |
| Provider Name | Camille Short |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811360118 PECOS PAC ID: 2769830835 Enrollment ID: I20240220003207 |
| Provider Name | Chernae Minor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659797397 PECOS PAC ID: 4981048543 Enrollment ID: I20240222001059 |
Center For Personal Development, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Cole Ave, Monroe, LA 71203 Phone: 318-343-4392 Fax: 318-343-4393 | |
Alfredo E Torres A Professional Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Desiard Street, Suite 810, Monroe, LA 71201 Phone: 318-651-8337 | |
Affinity Health Gorup, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd # L, Monroe, LA 71201 Phone: 318-361-2161 Fax: 318-812-6055 | |
Affinity Health Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 112 Saint John St, Monroe, LA 71201 Phone: 318-387-5681 Fax: 318-322-9957 | |
Family Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 Avenue Of America, Monroe, LA 71201 Phone: 318-998-2700 Fax: 318-998-2703 | |
Behavioral Developmental Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Armand St, Monroe, LA 71201 Phone: 318-600-6640 Fax: 318-605-2662 | |
Absolute Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N 21st St, Monroe, LA 71201 Phone: 318-450-4911 Fax: 318-855-6514 |