Healthcare Provider Details

I. General information

NPI: 1821703455
Provider Name (Legal Business Name): THE CREED GROUP OF LOUISIANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 POYDRAS ST UNIT A
NEW ORLEANS LA
70119-7576
US

IV. Provider business mailing address

2235 POYDRAS ST UNIT A
NEW ORLEANS LA
70119-7576
US

V. Phone/Fax

Practice location:
  • Phone: 504-236-8396
  • Fax: 504-814-8002
Mailing address:
  • Phone: 504-236-8396
  • Fax: 504-814-8002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: DR. FLORENCE CHIGBU
Title or Position: CEO/ OWNER
Credential:
Phone: 504-236-8396