Healthcare Provider Details

I. General information

NPI: 1245911007
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA OF SELA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 CANAL ST STE 325
NEW ORLEANS LA
70119-6059
US

IV. Provider business mailing address

3801 CANAL ST STE 325
NEW ORLEANS LA
70119-6059
US

V. Phone/Fax

Practice location:
  • Phone: 504-715-9226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: LANEY BLAKEMORE
Title or Position: HUMAN RESOURCES
Credential:
Phone: 504-486-8688