Provider Demographics
NPI:1376677609
Name:VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,MBA
Authorized Official - Phone:504-482-2130
Mailing Address - Street 1:4152 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5941
Mailing Address - Country:US
Mailing Address - Phone:504-482-2130
Mailing Address - Fax:504-482-1922
Practice Address - Street 1:320 METAIRIE HAMMOND HWY
Practice Address - Street 2:300
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-1399
Practice Address - Country:US
Practice Address - Phone:504-835-3005
Practice Address - Fax:504-835-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6786251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1923443Medicaid
LA1958247Medicaid
LA19262147Medicaid
LA1174815Medicaid
LA1714798Medicaid
LA1712728Medicaid