Provider Demographics
NPI: | 1790395341 |
---|---|
Name: | TOUCANET COUNSELLING LLC. |
Entity Type: | Organization |
Organization Name: | TOUCANET COUNSELLING LLC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EMPLOYEE |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | SAMUEL |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | JOHNSON |
Authorized Official - Suffix: | III |
Authorized Official - Credentials: | CAC, CCGC |
Authorized Official - Phone: | 504-261-4976 |
Mailing Address - Street 1: | 2439 MANHATTAN BLVD STE 102-4 |
Mailing Address - Street 2: | |
Mailing Address - City: | HARVEY |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70058-5473 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 504-766-8456 |
Mailing Address - Fax: | 504-766-8457 |
Practice Address - Street 1: | 2439 MANHATTAN BLVD STE 102-4 |
Practice Address - Street 2: | |
Practice Address - City: | HARVEY |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70058-5473 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-766-8456 |
Practice Address - Fax: | 504-766-8457 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-08-07 |
Last Update Date: | 2020-11-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 251K00000X | Agencies | Public Health or Welfare | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
No | 253J00000X | Agencies | Foster Care Agency | ||
No | 261QC1800X | Ambulatory Health Care Facilities | Clinic/Center | Corporate Health | |
No | 261QF0050X | Ambulatory Health Care Facilities | Clinic/Center | Family Planning, Non-Surgical | |
No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service | Group - Multi-Specialty |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
No | 261QM1100X | Ambulatory Health Care Facilities | Clinic/Center | Military/U.S. Coast Guard Outpatient | |
No | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | Methadone | Group - Multi-Specialty |
No | 372600000X | Nursing Service Related Providers | Adult Companion | Group - Multi-Specialty |