Provider Demographics
NPI:1629342118
Name:EARLY CHILDHOOD SUPPORT & SERVICES - ORLEANS
Entity Type:Organization
Organization Name:EARLY CHILDHOOD SUPPORT & SERVICES - ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:BARCONEY
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-BACS
Authorized Official - Phone:504-483-1821
Mailing Address - Street 1:3801 CANAL ST STE 211
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6084
Mailing Address - Country:US
Mailing Address - Phone:504-483-1821
Mailing Address - Fax:504-483-1822
Practice Address - Street 1:3801 CANAL ST STE 211
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6084
Practice Address - Country:US
Practice Address - Phone:504-483-1821
Practice Address - Fax:504-483-1822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DHH/OBH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-29
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health