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NPI Code Detail

MEDICARE: JEFFERSON PARISH HUMAN SERVICES AUTHORITY

MEDICARE: JEFFERSON PARISH HUMAN SERVICES AUTHORITY
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)

General Provider Information

NPI Number : 1821039983
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFERSON PARISH HUMAN SERVICES AUTHORITY
Provider Business Mailing Address
First Line : 3616 S I 10 SERVICE RD W
Second Line : SUITE 200
City : METAIRIE
State : LA
Zip : 70001-1874
Country : US
Telephone Number : 504-838-5215
Fax Number : 504-838-5714
Provider Business Practice Location Address
First Line : 5001 WESTBANK EXPY STE 200
Second Line :
City : MARRERO
State : LA
Zip : 70072-2954
Country : US
Telephone Number : 504-349-3740
Fax Number : 504-838-5714
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ROSANNA DICHIRO DERBES
Credential : PSY.D
Telephone Number : 504-838-5215
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/15/2022

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Directions to “JEFFERSON PARISH HUMAN SERVICES AUTHORITY ” Practice Location

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