Miss-Lou Addiction Clinic
NPI 1205354974ActiveOrganization· Case Manager/Care Coordinator· Jonesboro, LA
Case Manager/Care Coordinator in Jonesboro, Louisiana, registered in NPPES in September 2017. The authorized official on file is Mona Lisa Peterson, MS, BSW, Executive Director.
Overview
| NPI | 1205354974 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Dec 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | — | — |
| Community/Behavioral Health | 251S00000X | 1112895 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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