OrganizationActive
Department of Health and Hospitals
NPI 1306800289 · Addiction Medicine (Family Medicine) Physician · Pineville, LA
Provider details
- NPI number
- 1306800289
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Jones, Regional Administrator(318) 487-5191
- License
- LAC 592 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
242 West Shamrock
Unit 1
Pineville, LA 71360
Phone: (318) 488-6846
Fax: (318) 488-6844
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7473
Alexandria, LA 71306-7473
Other names (DBA / former)
- Doing business as
- Behavioral Health Clinic of Central La (ad)
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2011-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.