OrganizationActive
Northeast Delta Human Services Authority
NPI 1124772009 · Primary Care Clinic/Center · Monroe, LA
Provider details
- NPI number
- 1124772009
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Northeast Delta Human Services Authority
- Organization subpart
- Yes
- Authorized official
- Octavia Green, Administrative Program Specialist B(318) 362-3270
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4800 S Grand St
Monroe, LA 71202-6412
Phone: (318) 362-3339
Fax: (318) 362-3336
Approximate (ZIP-level) locationGet directions
Mailing address
4800 S Grand St
Monroe, LA 71202-6412
Other names (DBA / former)
- Doing business as
- Monroe Behavioral Health Clinic-Medical
- Doing business as
- Monroe Behavioral Health Clinic-Medical
Registry dates
- Enumerated
- 2022-02-09
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.