Healthcare Provider Details

I. General information

NPI: 1750275996
Provider Name (Legal Business Name): TOGETHER WE STAND OUTREACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 06/04/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 VILLAGE ST STE D
SLIDELL LA
70458-5302
US

IV. Provider business mailing address

118 VILLAGE ST STE D
SLIDELL LA
70458-5302
US

V. Phone/Fax

Practice location:
  • Phone: 985-474-4273
  • Fax:
Mailing address:
  • Phone: 985-474-4273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LATOYIA PORTER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 985-474-4273