NPI Code Details Logo

NPI 1700997798

NPI 1700997798 : NAMI SOUTHEAST LOUISIANA : NEW ORLEANS, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700997798
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NAMI SOUTHEAST LOUISIANA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/31/2006
-----------------------------------------------------
    Last Update Date     |    06/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4403 CANAL ST 
-----------------------------------------------------
    City                 |    NEW ORLEANS
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70119-5946
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    985-626-6538
-----------------------------------------------------
    Fax                  |    877-361-1631
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    23577 MARTIN WAY 
-----------------------------------------------------
    City                 |    MANDEVILLE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70448-7394
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    859-626-6538
-----------------------------------------------------
    Fax                  |    877-361-4631
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    SPECIAL PROJECTS
-----------------------------------------------------
    Name                 |     ERICA  FOLSE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    985-626-6538
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.