Healthcare Provider Details

I. General information

NPI: 1114801776
Provider Name (Legal Business Name): FRANCES DANIELL OGDEN CIT-5973
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 STERLINGTON HWY
FARMERVILLE LA
71241-3122
US

IV. Provider business mailing address

604 JOSEPH ST
MONROE LA
71201-2748
US

V. Phone/Fax

Practice location:
  • Phone: 318-901-9331
  • Fax: 318-801-9332
Mailing address:
  • Phone: 318-423-0088
  • Fax: 318-423-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCIT-5973
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: