Provider Demographics
NPI:1013404011
Name:MADE POSITIVE, INC.
Entity Type:Organization
Organization Name:MADE POSITIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SENIOR OPERATIONS COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-621-3211
Mailing Address - Street 1:P.O. BOX 282
Mailing Address - Street 2:
Mailing Address - City:PORT SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70083
Mailing Address - Country:US
Mailing Address - Phone:504-609-3724
Mailing Address - Fax:866-597-1175
Practice Address - Street 1:3443 ESPLANADE AVE.
Practice Address - Street 2:SUITE 215
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119
Practice Address - Country:US
Practice Address - Phone:504-609-3724
Practice Address - Fax:866-597-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health