Organization Active NPI

MLM Therapy Services LLC

  • Adult Mental Health Clinic/Center
  • New Orleans, LA
National Provider Identifier
1972038032
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
7575 Issued in LA
Legal business name
MLM THERAPY SERVICES LLC
Practice address
4919 Canal St
204
New Orleans, LA 70119-5848
Phone
(504) 723-0881
NPI assigned
Apr 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Mary Lee Muller, LCSWNPI 1689056590
Title
Licensed Clinical Social Worker
Phone
(504) 723-0881

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 7575 LA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 7575 LA

Addresses

Primary practice location

4919 Canal St
204
New Orleans, LA 70119-5848

Mailing address

4919 Canal St
204
New Orleans, LA 70119-5848
Phone (504) 723-0881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502000654 LA Part B Supplier - Clinic/Group Practice 6800173782 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

4919 Canal St
Ste 204
New Orleans, LA 70119
Phone (504) 302-7771

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": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1972038032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 CANAL ST",
            "address_2": "204",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195848",
            "telephone_number": "504-723-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 CANAL ST",
            "address_2": "204",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195848",
            "telephone_number": "504-723-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLM THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "504-723-0881",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "LA",
            "license": "7575",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "LA",
            "license": "7575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.