Healthcare Provider Details

I. General information

NPI: 1013280585
Provider Name (Legal Business Name): JW'S CREATIVE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6803 PRESS DR STE 179
NEW ORLEANS LA
70126-1049
US

IV. Provider business mailing address

PO BOX 19183
NEW ORLEANS LA
70179-0183
US

V. Phone/Fax

Practice location:
  • Phone: 504-483-2133
  • Fax: 504-483-1287
Mailing address:
  • Phone: 504-483-2133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberCM 27020
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JOSIE LOUISE WHITE
Title or Position: PRESIDENT / CEO
Credential: DBH, NCC, LPC, LMFT
Phone: 504-483-2133