Basic Information
Provider Information
NPI: 1114652682
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOY
FirstName: JANELLE
MiddleName: TEMPLE
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14060 KINGSWOOD DR
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701282610
CountryCode: US
TelephoneNumber: 5043512602
FaxNumber:  
Practice Location
Address1: 5630 CROWDER BLVD
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701272429
CountryCode: US
TelephoneNumber: 5042416006
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/19/2022
LastUpdateDate: 07/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171M00000X LAY Other Service ProvidersCase Manager/Care Coordinator 

No ID Information.


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