Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Delta Human Services Authority

Organization Primary Care Clinic/Center · NPI 1124772009

Northeast Delta Human Services Authority is a Primary Care Clinic/Center in Monroe, Louisiana. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4800 S Grand St
Monroe, LA 71202-6412
Phone: (318) 362-3339
Fax: (318) 362-3336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1124772009
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheast Delta Human Services Authority
Authorized official Octavia Green — Administrative Program Specialist B · (318) 362-3270
Other names Monroe Behavioral Health Clinic-Medical; Monroe Behavioral Health Clinic-Medical
NPI enumeratedFebruary 9, 2022
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address4800 S Grand St, Monroe, LA 71202-6412

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