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NPI Code Detail

MEDICARE: VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.

MEDICARE: VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285761965
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Provider Business Mailing Address
First Line : 4152 CANAL STREET
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5941
Country : US
Telephone Number : 504-482-2130
Fax Number : 504-482-1922
Provider Business Practice Location Address
First Line : 823 CARROLL ST STE B
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-5126
Country : US
Telephone Number : 985-674-5475
Fax Number : 985-674-5475
Authorized Official
Title or Position : EVP OF ENTERPRISE & ADMINISTRATION
Name : JASON BURT
Credential :
Telephone Number : 504-486-8674
Provider Enumeration Date : 02/28/2007
Last Update Date : 09/23/2024

Similar Medicare Providers

1437469616 — MR. SCOTT MICHAEL BORNE M.ED., L.P.C.
Practice Location Address:
823 CARROLL ST
MANDEVILLE, LA
70448-5126
Practice Phone: 985-674-5475
Practice Fax:
1982077954 — REBECCA THEES M.ED., LPC
Practice Location Address:
823 CARROLL ST
MANDEVILLE, LA
70448-5126
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Practice Fax: 985-674-0336
1548626401 — DIANA WILD
Practice Location Address:
823 CARROLL ST , SUITE B
MANDEVILLE, LA
70448-5126
Practice Phone: 985-674-0488
Practice Fax: 985-674-0336
1831557222 — JEANNE LOVERN
Practice Location Address:
823 CARROLL ST STE B
MANDEVILLE, LA
70448-5126
Practice Phone: 985-674-0488
Practice Fax: 985-674-1048
1235597469 — EVELYN HATCHER
Practice Location Address:
823 CARROLL ST
MANDEVILLE, LA
70448-5126
Practice Phone: 985-674-0488
Practice Fax: 986-674-1048
1548628704 — JEANNIE BRYAN
Practice Location Address:
823 CARROLL ST
MANDEVILLE, LA
70448-5126
Practice Phone: 985-674-5424
Practice Fax:

Directions to “VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC. ” Practice Location

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