# ALEXANDRIA DEPENDENCY AND MENTAL HEALTH, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831976638
- **Authorized official:** DANIEL LEE HALE PMHNP-BC, FNP-C (OWNER)
- **Authorized official phone:** (318) 632-7878

## Contact information

- **Practice address:** 44 VERSAILLES BOULEVARD, ALEXANDRIA, LA 71303
- **Practice address phone:** (318) 792-7575
- **Practice address fax:** (318) 225-4965
- **Mailing address:** 3009 LEGACY LOOP, PINEVILLE, LA 71360-4661
- **Mailing address phone:** (318) 632-7878
- **Mailing address fax:** (318) 643-4484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 01/09/2024