NPIMap

Organization Active NPI

Eleventh Round LLC

  • Community/Behavioral Health Agency
  • Mandeville, LA
National Provider Identifier
1710244579
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3577 Issued in LA
Legal business name
ELEVENTH ROUND LLC
Practice address
1418 Woodmere Dr
Mandeville, LA 70471-7458
Phone
(504) 237-5769
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Michelle Pittman Crowley, LMSWNPI 1689043846
Title
Manager
Phone
(504) 237-5769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3577 LA Primary

Addresses

Primary practice location

1418 Woodmere Dr
Mandeville, LA 70471-7458

Mailing address

1418 Woodmere Dr
Mandeville, LA 70471-7458
Phone (504) 237-5769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1710244579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 WOODMERE DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717458",
            "telephone_number": "504-237-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 WOODMERE DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717458",
            "telephone_number": "504-237-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVENTH ROUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "PITTMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-237-5769",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.