| Serenity Springs Specialty Hospital | |
|
1495 Frazier Rd Ruston LA 71270-1632 | |
| (318) 202-3860 | |
| (318) 202-5856 |
| Full Name | Serenity Springs Specialty Hospital |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 1495 Frazier Rd, Ruston, Louisiana |
| Authorized Official Name and Position | Cindy Broadway (CEO) |
| Authorized Official Contact | 3183293933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Springs Specialty Hospital 2404 Duval Dr Monroe LA 71201-2986 Ph: (318) 322-3933 | Serenity Springs Specialty Hospital 1495 Frazier Rd Ruston LA 71270-1632 Ph: (318) 202-3860 |
| NPI Number | 1720025919 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 03/07/2019 |
| Medicare PECOS PAC ID | 6002944048 |
|---|---|
| Medicare Enrollment ID | O20121107000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720025919 | NPI | - | NPPES |
| 1704865 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
| Provider Name | Charles S Simmons |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1518004142 PECOS PAC ID: 0648293704 Enrollment ID: I20060104000771 |
| Provider Name | Rebecca Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891987343 PECOS PAC ID: 0941394084 Enrollment ID: I20070919000798 |
| Provider Name | Jennifer G Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255323390 PECOS PAC ID: 7911096706 Enrollment ID: I20071203000709 |
| Provider Name | Sandra Lynn Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124334412 PECOS PAC ID: 9830386812 Enrollment ID: I20110315000971 |
| Provider Name | Barbara Goodgion Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124773254 PECOS PAC ID: 8123413390 Enrollment ID: I20220325000188 |
| Provider Name | Carolyn Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487384855 PECOS PAC ID: 3779968342 Enrollment ID: I20220917000543 |
| Provider Name | Pamela L Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114702636 PECOS PAC ID: 6901252089 Enrollment ID: I20231025002816 |
Ruston Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 White St, Ruston, LA 71270 Phone: 318-251-4125 Fax: 318-251-5000 | |
Lincoln Nova Vital Recovery Center,llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4396 Highway 80, Ruston, LA 71270 Phone: 318-251-4659 Fax: 318-251-4659 | |
Masterpiece Behavior Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Floyd Park Dr Ste 2, Ruston, LA 71270 Phone: 318-548-1589 | |
La Paz, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 S Vienna St Ste 7, Ruston, LA 71270 Phone: 318-278-0309 | |
First Step Counceling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 W Alabama Ave, Ruston, LA 71270 Phone: 318-218-2736 | |
People Centered Support Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Atkins Road, Ruston, LA 71270 Phone: 318-255-9105 Fax: 318-251-9286 | |
Shreveport Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 S Barnett Springs St, Ruston, LA 71270 Phone: 318-242-0026 |