Healthcare Provider Details

I. General information

NPI: 1063528560
Provider Name (Legal Business Name): FAMILY PRESERVATION SERVICES OF FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 N I 10 SERVICE RD W STE 117
METAIRIE LA
70002-6831
US

IV. Provider business mailing address

3925 N I 10 SERVICE RD W STE 117
METAIRIE LA
70002-6831
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-2446
  • Fax: 504-455-7626
Mailing address:
  • Phone: 504-455-2446
  • Fax: 504-455-7626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA BOYD
Title or Position: REGIONAL DIRECTOR
Credential: M.A., LPC, NCC
Phone: 504-250-7655