Provider Demographics
NPI:1487973046
Name:REACHING FOR SUCCES COUNSELING SERVICE
Entity type:Organization
Organization Name:REACHING FOR SUCCES COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PIERCE-JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-994-2012
Mailing Address - Street 1:7713 TRICIA CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-1519
Mailing Address - Country:US
Mailing Address - Phone:504-832-4989
Mailing Address - Fax:504-831-7712
Practice Address - Street 1:827 CAUSEWAY BLVD STE 106
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2739
Practice Address - Country:US
Practice Address - Phone:504-832-4989
Practice Address - Fax:504-831-7712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA19154852251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health