Provider Demographics
NPI:1700043544
Name:NELLIE BYERS TRAINING CENTER
Entity Type:Organization
Organization Name:NELLIE BYERS TRAINING CENTER
Other - Org Name:QUAZI PRIVATE ENTITY
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:SCHILLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-735-5216
Mailing Address - Street 1:640 AVENUE V
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-4456
Mailing Address - Country:US
Mailing Address - Phone:985-735-5216
Mailing Address - Fax:985-735-1923
Practice Address - Street 1:640 AVENUE V
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-4456
Practice Address - Country:US
Practice Address - Phone:985-735-5216
Practice Address - Fax:985-735-1923
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NELLIE BYERS TRAINING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10005251B00000X, 251C00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1938157OtherDAY HABILITATION
LA1938165OtherPRE-VOCATIONAL
LA1934160OtherSUPPORTED EMPLOYMENT