# DEPARTMENT OF HEALTH AND HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monroe Behavioral Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083679955
- **Authorized official:** MR. MARK DEBORD LCSW (OBH REGIONAL ADMINISTRATOR)
- **Authorized official phone:** (318) 362-3270

## Contact information

- **Practice address:** 4800 S GRAND ST, MONROE, LA 71202-6412
- **Practice address phone:** (318) 362-3339
- **Practice address fax:** (318) 362-3336
- **Mailing address:** 4800 S GRAND ST, MONROE, LA 71202-6412
- **Mailing address phone:** (318) 362-3339
- **Mailing address fax:** (318) 362-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 015 | LA | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 05/10/2011