Provider Demographics
NPI:1205410255
Name:1-ACCORD HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:1-ACCORD HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PREATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-214-9697
Mailing Address - Street 1:PO BOX 1553
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70054-1553
Mailing Address - Country:US
Mailing Address - Phone:504-214-9697
Mailing Address - Fax:
Practice Address - Street 1:401 WHITNEY AVE STE 204
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2874
Practice Address - Country:US
Practice Address - Phone:504-214-9697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health