Provider Demographics
NPI:1023257946
Name:HEALING HEARTS FOR COMMUNITY DEVELOPMENT
Entity type:Organization
Organization Name:HEALING HEARTS FOR COMMUNITY DEVELOPMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:G
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:CPS
Authorized Official - Phone:504-833-4673
Mailing Address - Street 1:2701 TRANSCONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6447
Mailing Address - Country:US
Mailing Address - Phone:504-833-4673
Mailing Address - Fax:504-885-0400
Practice Address - Street 1:2701 TRANSCONTINENTAL DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6447
Practice Address - Country:US
Practice Address - Phone:504-833-4673
Practice Address - Fax:504-885-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA329251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health