Provider Demographics
NPI:1104210004
Name:NDC II CHILD AND FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:NDC II CHILD AND FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:LYNNELLE
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-251-5368
Mailing Address - Street 1:3715 WILLIAMS BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3075
Mailing Address - Country:US
Mailing Address - Phone:504-251-5368
Mailing Address - Fax:
Practice Address - Street 1:3715 WILLIAMS BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3075
Practice Address - Country:US
Practice Address - Phone:504-251-5368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4656101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty