Provider Demographics
NPI:1578191409
Name:COMPASSIONATE CARE COUNSELING CENTER
Entity Type:Organization
Organization Name:COMPASSIONATE CARE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCLOS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-473-5333
Mailing Address - Street 1:PO BOX 791409
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70179-1409
Mailing Address - Country:US
Mailing Address - Phone:504-473-5333
Mailing Address - Fax:
Practice Address - Street 1:1 GALLERIA BLVD STE 1900
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-7553
Practice Address - Country:US
Practice Address - Phone:504-473-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health