Healthcare Provider Details

I. General information

NPI: 1184893380
Provider Name (Legal Business Name): THE MACRO GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 STUBBS AVE SUITE A
MONROE LA
71201-5580
US

IV. Provider business mailing address

803 STUBBS AVE SUITE A
MONROE LA
71201-5580
US

V. Phone/Fax

Practice location:
  • Phone: 318-789-6819
  • Fax: 318-325-9504
Mailing address:
  • Phone: 318-789-6819
  • Fax: 318-325-9504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. NICOLE APPLEWHITE
Title or Position: PROGRAM DIRECTOR
Credential: M.S.
Phone: 318-789-6819