Basic Information
Provider Information
NPI: 1811426174
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBIER
FirstName: JORDAN
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: LMSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1901 WESTBANK EXPY STE 550
Address2:  
City: HARVEY
State: LA
PostalCode: 700584362
CountryCode: US
TelephoneNumber: 5048325123
FaxNumber:  
Practice Location
Address1: 1901 WESTBANK EXPRESSWAY SUITE 550
Address2:  
City: HARVEY
State: LA
PostalCode: 70058
CountryCode: US
TelephoneNumber: 5048325123
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171M00000X14267LAN Other Service ProvidersCase Manager/Care Coordinator 
104100000X14267LAY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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