Healthcare Provider Details

I. General information

NPI: 1386251874
Provider Name (Legal Business Name): GOOD WORK THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 04/26/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S CARROLLTON AVE
NEW ORLEANS LA
70118-2947
US

IV. Provider business mailing address

2443 OXFORD PL
GRETNA LA
70056-3055
US

V. Phone/Fax

Practice location:
  • Phone: 504-413-3256
  • Fax:
Mailing address:
  • Phone: 504-413-3256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANGELA JAMES
Title or Position: OWNER
Credential: LPC-S
Phone: 504-413-3256