Provider Demographics
NPI:1437491149
Name:OPTIONS FOR INDEPENDENCE
Entity Type:Organization
Organization Name:OPTIONS FOR INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:GREG
Authorized Official - Last Name:GLEASON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, BACS
Authorized Official - Phone:985-868-2620
Mailing Address - Street 1:5593 HIGHWAY 311
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-2866
Mailing Address - Country:US
Mailing Address - Phone:985-868-2620
Mailing Address - Fax:985-868-8547
Practice Address - Street 1:5593 HIGHWAY 311
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2866
Practice Address - Country:US
Practice Address - Phone:985-868-2620
Practice Address - Fax:985-868-8547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health