Provider Demographics
NPI:1023495553
Name:EFFECTUAL MENAL HEALTH AGENCY
Entity type:Organization
Organization Name:EFFECTUAL MENAL HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYANT
Authorized Official - Middle Name:R
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:504-451-1571
Mailing Address - Street 1:3863 GENTILLY BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-6140
Mailing Address - Country:US
Mailing Address - Phone:504-451-1571
Mailing Address - Fax:504-304-9504
Practice Address - Street 1:3863 GENTILLY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-6140
Practice Address - Country:US
Practice Address - Phone:504-451-1571
Practice Address - Fax:504-304-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health