Basic Information
| Provider Information | |||||||||
| NPI: | 1811396245 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LOVING HEARTS SOCIAL SERVICES OF NEW ORLEANS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10001 LAKE FOREST BLVD | ||||||||
| Address2: | SUTIE 404 | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701276200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048215220 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10001 LAKE FOREST BLVD | ||||||||
| Address2: | SUTIE 404 | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701276200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048215220 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2014 | ||||||||
| LastUpdateDate: | 08/21/2014 | ||||||||
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| AuthorizedOfficialLastName: | DURAND | ||||||||
| AuthorizedOfficialFirstName: | GIAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5048215220 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MISS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | LA | Y | Agencies | Community/Behavioral Health |
No ID Information.