Helping Hands for Community Development, Inc.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

00194591 Issued in LA

Legal business name

HELPING HANDS FOR COMMUNITY DEVELOPMENT, INC.

Practice address

2405 Line Ave
Shreveport, LA 71104-3019

Phone

(318) 227-1113

Fax

(318) 227-1119

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Katrina Obalette Boden, M.ED, CAT

Title

Chief Executive Officer

Phone

(318) 227-1113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255375978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043019",
            "telephone_number": "318-227-1113",
            "fax_number": "318-227-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043019",
            "telephone_number": "318-227-1113",
            "fax_number": "318-227-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELPING HANDS FOR COMMUNITY DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "OBALETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "318-227-1113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED, CAT"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "LA",
            "license": "00194591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548294",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Cognitive & Behavioral Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.