Provider Demographics
NPI:1699020198
Name:PLAQUEMINES COMMUNITY C.A.R.E. CENTERS FOUNDATION, INC.
Entity Type:Organization
Organization Name:PLAQUEMINES COMMUNITY C.A.R.E. CENTERS FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-393-5750
Mailing Address - Street 1:115 KEATING DR
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-1629
Mailing Address - Country:US
Mailing Address - Phone:504-393-5750
Mailing Address - Fax:504-393-5760
Practice Address - Street 1:115 KEATING DR
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-1629
Practice Address - Country:US
Practice Address - Phone:504-393-5750
Practice Address - Fax:504-393-5760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty