Provider Demographics
NPI:1417259128
Name:REACHING FOR SUCCESS COUNSELING SERVICE INC
Entity Type:Organization
Organization Name:REACHING FOR SUCCESS COUNSELING SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE /CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIERCE-JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-832-4989
Mailing Address - Street 1:827 SOUTH CAUSEWAY BLVD.
Mailing Address - Street 2:#106
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2739
Mailing Address - Country:US
Mailing Address - Phone:504-832-4989
Mailing Address - Fax:504-831-7712
Practice Address - Street 1:827 SOUTH CAUSEWAY BLVD. #106
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70121-5345
Practice Address - Country:US
Practice Address - Phone:504-832-4989
Practice Address - Fax:504-831-7712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACM27039251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2117505Medicaid