Provider Demographics
NPI:1376838482
Name:THE MACRO GROUP II, LLC
Entity type:Organization
Organization Name:THE MACRO GROUP II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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:318-323-3500
Mailing Address - Street 1:809 N 4TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5963
Mailing Address - Country:US
Mailing Address - Phone:318-323-3500
Mailing Address - Fax:318-325-3501
Practice Address - Street 1:809 N 4TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5963
Practice Address - Country:US
Practice Address - Phone:318-323-3500
Practice Address - Fax:318-325-3501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA34260251S00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1506761Medicaid
LA1919471Medicaid
LA1342068Medicaid
LA1920053Medicaid
LA1506788Medicaid
LA1506711Medicaid