Provider Demographics
NPI:1740791367
Name:JAMES, ALMORE RAYMOND SR (MENTAL HEALTH SPECIA)
Entity Type:Individual
Prefix:MR
First Name:ALMORE
Middle Name:RAYMOND
Last Name:JAMES
Suffix:SR
Gender:M
Credentials:MENTAL HEALTH SPECIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MARINERS PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-4798
Mailing Address - Country:US
Mailing Address - Phone:985-951-2052
Mailing Address - Fax:
Practice Address - Street 1:400 MARINERS PLAZA DR
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4798
Practice Address - Country:US
Practice Address - Phone:985-951-2052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA$$$$$$$$$Medicaid