Northeast Delta Human Services Authority
Northeast Delta Human Services Authority is a Primary Care Clinic/Center in Tallulah, Louisiana. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1012 Johnson StTallulah, LA 71282-5216
Phone: (318) 574-1713
Fax: (318) 574-2299
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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 number | 1417601394 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Northeast Delta Human Services Authority |
| Authorized official | Octavia Green — Administrative Program Specialist B · (318) 362-3270 |
| Other names | Tallulah Behavioral Health Clinic-Medical; Tallulah Behavioral Health Clinic-Medical |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | August 30, 2023 |
| Certification date | August 30, 2023 |
| Mailing address | 1012 Johnson St, Tallulah, LA 71282-5216 |