Provider Demographics
NPI:1922543107
Name:SOUTHERN COMMUNITY NETWORK
Entity Type:Organization
Organization Name:SOUTHERN COMMUNITY NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:504-913-0901
Mailing Address - Street 1:2714 CANAL ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5548
Mailing Address - Country:US
Mailing Address - Phone:504-913-9335
Mailing Address - Fax:985-785-7728
Practice Address - Street 1:2714 CANAL ST
Practice Address - Street 2:SUITE 316
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5548
Practice Address - Country:US
Practice Address - Phone:504-913-9335
Practice Address - Fax:985-785-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health