Provider Demographics
NPI:1518230895
Name:TRUTHLINK 2150, INC
Entity Type:Organization
Organization Name:TRUTHLINK 2150, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNA
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:ANDRUS
Authorized Official - Suffix:I
Authorized Official - Credentials:LMFT
Authorized Official - Phone:504-416-5256
Mailing Address - Street 1:PO BOX 2155
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70073-2155
Mailing Address - Country:US
Mailing Address - Phone:504-416-5256
Mailing Address - Fax:504-341-6650
Practice Address - Street 1:3621 AMES BLVD
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-5710
Practice Address - Country:US
Practice Address - Phone:504-416-5256
Practice Address - Fax:504-341-6650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty