Basic Information
| Provider Information | |||||||||
| NPI: | 1831645878 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MY SISTER'S VOICE HEALTHCARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4700 WICHERS DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MARRERO | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700723041 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 4700 WICHERS DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MARRERO | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700723041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043191769 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2016 | ||||||||
| LastUpdateDate: | 08/30/2016 | ||||||||
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| AuthorizedOfficialLastName: | THOMPSON | ||||||||
| AuthorizedOfficialFirstName: | CHERRELL | ||||||||
| AuthorizedOfficialMiddleName: | LYNETTE | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5043191769 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PHARM D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | N | Agencies | Case Management | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.