Provider Demographics
NPI:1558550194
Name:LA DEPARTMENT OF HEALTH AND HOSPITALS
Entity Type:Organization
Organization Name:LA DEPARTMENT OF HEALTH AND HOSPITALS
Other - Org Name:LOUISIANA YOUTH ENHANCED SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PARQUET
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:504-896-2639
Mailing Address - Street 1:210 STATE STREET
Mailing Address - Street 2:COTTAGE 4
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118
Mailing Address - Country:US
Mailing Address - Phone:504-896-2636
Mailing Address - Fax:504-896-2668
Practice Address - Street 1:210 STATE STREET
Practice Address - Street 2:COTTAGE 4
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118
Practice Address - Country:US
Practice Address - Phone:504-896-2636
Practice Address - Fax:504-896-2668
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LA DEPARTMENT OF HEALTH AND HOSPITALS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-19
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084P0800X
LAMD09289R2084P0800X
LAMD2002042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty