Provider Demographics
NPI:1558519017
Name:COMMUNITY INNOVATIONS, INC
Entity Type:Organization
Organization Name:COMMUNITY INNOVATIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MPA MED NCC LPC LMFT
Authorized Official - Phone:504-483-2133
Mailing Address - Street 1:PO BOX 19979
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70179-0979
Mailing Address - Country:US
Mailing Address - Phone:504-483-2133
Mailing Address - Fax:504-284-5734
Practice Address - Street 1:137 N CLARK ST
Practice Address - Street 2:L4
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5207
Practice Address - Country:US
Practice Address - Phone:504-483-2133
Practice Address - Fax:504-284-5734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management