Organization Active NPI

PLTC-LLC

  • Adolescent and Children Mental Health Clinic/Center
  • New Orleans, LA
National Provider Identifier
1083194393
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PLTC-LLC
Practice address
3330 Canal St
New Orleans, LA 70119-6206
Phone
(504) 827-2701
Fax
(504) 827-2715
NPI assigned
Aug 16, 2018
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Ms. Terry Margaret Mogilles, RN
Title
Program Director
Phone
(504) 827-2701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X LA Primary

Addresses

Primary practice location

3330 Canal St
New Orleans, LA 70119-6206

Mailing address

3330 Canal St
New Orleans, LA 70119-6206
Phone (504) 827-2701

Other identifiers 1

IdentifierTypeStateIssuer
2136593MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1083194393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196206",
            "telephone_number": "504-827-2701",
            "fax_number": "504-827-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196206",
            "telephone_number": "504-827-2701",
            "fax_number": "504-827-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLTC-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "MOGILLES",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "504-827-2701",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136593",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.