Provider Demographics
NPI:1497060636
Name:DELTA AGENCIES, LLC
Entity Type:Organization
Organization Name:DELTA AGENCIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:225-922-9094
Mailing Address - Street 1:5635 MAIN ST
Mailing Address - Street 2:SUITE A / # 184
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-4083
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5635 MAIN ST
Practice Address - Street 2:SUITE A / # 184
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-4083
Practice Address - Country:US
Practice Address - Phone:225-922-9094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)