Made, LLC

Organization Active NPI Case Management Agency · Violet, LA

NPI 1548620552 · NPPES record last updated Mar 3, 2016

Key facts

NPI
1548620552
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
MADE, LLC
Practice address
5605 6TH St
Apt B
Violet, LA 70092-3083
Phone
(504) 221-5003
NPI assigned
Mar 3, 2016
Organization subpart
No

Authorized official

Name
Ashlay A Douglas, AA, AAS, BA, MSW
Title
Owner/Ceo
Phone
(504) 221-5003

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LA Yes
Community/Behavioral Health Agency 251S00000X LA

Addresses

Primary practice location

5605 6TH St
Apt B
Violet, LA 70092-3083

Mailing address

PO Box 224
Violet, LA 70092-0224
Phone (504) 221-5003

Other providers in Violet, LA

All providers in Violet, LA · Case Management Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.