Provider Demographics
NPI:1487920120
Name:LEADERS EDU. LLC
Entity type:Organization
Organization Name:LEADERS EDU. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXC. DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:I
Authorized Official - Credentials:MA,LAC,CCDP-D,CCGC
Authorized Official - Phone:504-812-0635
Mailing Address - Street 1:3801 CANAL ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6067
Mailing Address - Country:US
Mailing Address - Phone:504-812-0635
Mailing Address - Fax:504-367-2449
Practice Address - Street 1:3801 CANAL ST STE 202
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6067
Practice Address - Country:US
Practice Address - Phone:504-812-0635
Practice Address - Fax:504-367-2449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA703251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health