Provider Demographics
NPI:1659658136
Name:NEW ORLEANS CENTER FOR HOPE AND CHANGE
Entity Type:Organization
Organization Name:NEW ORLEANS CENTER FOR HOPE AND CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LACOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:337-407-5148
Mailing Address - Street 1:3929 TULANE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6963
Mailing Address - Country:US
Mailing Address - Phone:504-834-8340
Mailing Address - Fax:504-834-8341
Practice Address - Street 1:313 N MONROE ST STE 4
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2383
Practice Address - Country:US
Practice Address - Phone:318-253-7888
Practice Address - Fax:504-834-8341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251S00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2165127Medicaid