Healthcare Provider Details

I. General information

NPI: 1316166036
Provider Name (Legal Business Name): METROPOLITAN HUMAN SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 GENERAL DEGAULLE DR
NEW ORLEANS LA
70114-6632
US

IV. Provider business mailing address

3100 GENERAL DEGAULLE DR STE 1800
NEW ORLEANS LA
70114-6632
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-3130
  • Fax: 504-568-3134
Mailing address:
  • Phone: 504-568-3130
  • Fax: 504-568-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number118
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number118
License Number StateLA

VIII. Authorized Official

Name: TRACI R BROWN
Title or Position: CHIEF FISCAL OFFICER
Credential:
Phone: 504-568-3130