Healthcare Provider Details

I. General information

NPI: 1528417292
Provider Name (Legal Business Name): ANOINTED APPOINTMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1927 CORPORATE SQUARE DR SUITE C
SLIDELL LA
70458-3166
US

IV. Provider business mailing address

1927 CORPORATE SQUARE DR SUITE C
SLIDELL LA
70458-3166
US

V. Phone/Fax

Practice location:
  • Phone: 985-445-1545
  • Fax: 985-445-1544
Mailing address:
  • Phone: 985-445-1545
  • Fax: 985-445-1544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number5011
License Number StateLA

VIII. Authorized Official

Name: CHAILA WILLIAMS
Title or Position: CLINICAL DIRECTOR/OWNER
Credential: NCC, LPC-S
Phone: 504-473-5171