Ekhaya Youth Project

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EKHAYA YOUTH PROJECT

Practice address

1112 5TH St
Gretna, LA 70053-6008

Phone

(504) 373-6026

NPI assigned

Aug 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bantu D. Gross, PH.D.

Title

Mental Health Professional

Phone

(504) 940-8249

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1063967875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S GAYOSO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254425",
            "telephone_number": "504-940-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 5TH ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536008",
            "telephone_number": "504-373-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKHAYA YOUTH PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "BANTU",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MENTAL HEALTH PROFESSIONAL",
        "authorized_official_telephone_number": "504-940-8249",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Malcolm Dyess, M.D.
• E.B. Ross, Jr MD-Stephen D Goodwin, MD
• Shelita Edgerson
• Latasha D Edwards
• Charles Ekenta
• Ekhaya Youth Project, Inc.
• Lasonja Monique Eleby
• Tanyell Ellis
• Emmons Counseling, LLC
• Endodontic Associates LLC

• Community/Behavioral Health Agency in Gretna, LA
• Providers in Gretna, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.