Healthcare Provider Details

I. General information

NPI: 1952655961
Provider Name (Legal Business Name): HEALTHPOINT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 AVENUE OF AMERICA
MONROE LA
71201-4530
US

IV. Provider business mailing address

1818 AVENUE OF AMERICA
MONROE LA
71201-4530
US

V. Phone/Fax

Practice location:
  • Phone: 318-998-2700
  • Fax: 318-998-2703
Mailing address:
  • Phone: 318-998-2700
  • Fax: 318-998-2703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5885
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1192
License Number StateLA

VIII. Authorized Official

Name: DR. TERRY OLIVER THOMAS
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 318-998-2700