Healthcare Provider Details

I. General information

NPI: 1548702418
Provider Name (Legal Business Name): PUTTING THE PIECES TOGETHER BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 LOUISIANA AVE
NEW ORLEANS LA
70115-5733
US

IV. Provider business mailing address

2887 HICKORYBROOK DR
GRETNA LA
70056-7917
US

V. Phone/Fax

Practice location:
  • Phone: 504-495-4951
  • Fax:
Mailing address:
  • Phone: 504-495-4951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6363
License Number StateLA

VIII. Authorized Official

Name: DR. ROBIN PARKER- BROOKS
Title or Position: FOUNDER/DIRECTOR
Credential: DBH, LMSW
Phone: 504-495-4951