Provider Demographics
NPI:1184893380
Name:THE MACRO GROUP, LLC
Entity type:Organization
Organization Name:THE MACRO GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLEWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:318-789-6819
Mailing Address - Street 1:803 STUBBS AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5580
Mailing Address - Country:US
Mailing Address - Phone:318-789-6819
Mailing Address - Fax:318-325-9504
Practice Address - Street 1:803 STUBBS AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5580
Practice Address - Country:US
Practice Address - Phone:318-789-6819
Practice Address - Fax:318-325-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health