Healthcare Provider Details

I. General information

NPI: 1366204182
Provider Name (Legal Business Name): NEW ROADS FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 W MAIN ST
NEW ROADS LA
70760-3511
US

IV. Provider business mailing address

213 W MAIN ST
NEW ROADS LA
70760-3511
US

V. Phone/Fax

Practice location:
  • Phone: 225-242-9162
  • Fax: 833-972-7844
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ELIZABETH BERRIGAN CAUSEY
Title or Position: OWNER/ MANAGER/ MEMBER
Credential: FNP
Phone: 512-650-7312