Louisiana Support Services

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

LOUISIANA SUPPORT SERVICES

Practice address

4480 General Degaulle Dr
New Orleans, LA 70131-6941

Phone

(504) 309-9046

Fax

(504) 309-9216

NPI assigned

Jul 12, 2012

Organization subpart

No

Name

Mr. Walter B Harris

Title

Owner

Phone

(252) 717-5717

Tax ID family

Louisiana Support Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Louisiana Support Services

  • Community/Behavioral Health Agency
  • Metairie, LA
  • NPI 1376974543
  NPD tax ID
• Louisiana Support Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Greenville, NC
  • NPI 1659652485
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2012.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1790040939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 GENERAL DEGAULLE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 GENERAL DEGAULLE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316941",
            "telephone_number": "504-309-9046",
            "fax_number": "504-309-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-717-5717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2139495",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana State University School of Medicine in New Orleans Faculty G
• Louisiana State University School of Medicine in New Orleans Faculty G
• Louisiana State University School of Medicine in New Orleans Faculty G
• Louisiana State University School of Medicine in New Orleans Faculty G
• Louisiana State University School of Medicine in New Orleans Faculty G
• Louisiana Vision Supplies, L.L.C.
• Louisiana Youth Enhanced Services
• Louisiana Youth Enhanced Services
• Raymond Eugene Louque Jr., DDS
• Lousteau & Cecola AMC

• All providers in New Orleans, LA
• Adolescent and Children Mental Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.