Provider Demographics
NPI:1154455970
Name:FIRST STAGES, INCORPORATED
Entity Type:Organization
Organization Name:FIRST STAGES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARONDA
Authorized Official - Middle Name:BAHAM
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:RSW, MSW
Authorized Official - Phone:504-837-7699
Mailing Address - Street 1:3445 N CAUSEWAY BLVD STE 317
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3734
Mailing Address - Country:US
Mailing Address - Phone:504-837-7966
Mailing Address - Fax:504-837-7615
Practice Address - Street 1:3445 N CAUSEWAY BLVD STE 317
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3734
Practice Address - Country:US
Practice Address - Phone:504-837-7966
Practice Address - Fax:504-837-7615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACM0007179251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACM0007179OtherCASE MANAGEMENT ID NUMBE