Active NPI
Louisiana Support Services
- Community/Behavioral Health Agency
- Metairie, LA
National Provider Identifier
1376974543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 10241206#EGG62
- Legal business name
- LOUISIANA SUPPORT SERVICES
- Practice address
- 2955 Ridgelake Dr
Metairie, LA 70002-4967 - Phone
- (504) 832-9623
- Fax
- (504) 832-9625
- NPI assigned
- Dec 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Walter Harris
- Title
- Owner
- Phone
- (252) 717-5717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 10241206#EGG62 | LA | Primary |
Addresses
Primary practice location
2955 Ridgelake Dr
Metairie, LA 70002-4967
Mailing address
915 Washington St
Franklinton, LA 70438-1718
Phone (985) 839-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2139495 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Louisiana Support Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- New Orleans, LA
- NPI 1790040939
-
- Adolescent and Children Mental Health Clinic/Center
- Greenville, NC
- NPI 1659652485
Locations
915 Washington St
Franklinton, LA 70438
Phone (985) 322-2026
2955 Ridgelake Dr
Metairie, LA 70002
Phone (504) 832-9623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386806400000",
"number": "1376974543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 WASHINGTON ST",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "704381718",
"telephone_number": "985-839-1050",
"fax_number": "985-839-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 RIDGELAKE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024967",
"telephone_number": "504-832-9623",
"fax_number": "504-832-9625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "WALTER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-717-5717",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": "10241206#EGG62",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2139495",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
- Louisiana Pain Specialists LLC
- Louisiana Pain Specialists LLC
- Louisiana Pain Specialists, LLC
- Louisiana Pain Specialists, LLC
- Louisiana State University School of Medicine in
- Louisiana Youth Connect, LLC
- Meghan Malloy Louvier, OTA
- Allen Charles Louviere III, PT, DPT
- Michele Marlea Louviere, LMFT
- Nicole Michele Love
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.