Provider Demographics
NPI:1134580137
Name:A CENTER FOR HOPE AND CHANGE
Entity type:Organization
Organization Name:A CENTER FOR HOPE AND CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH SPECIALIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:KEREN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-964-2709
Mailing Address - Street 1:212 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-2310
Mailing Address - Country:US
Mailing Address - Phone:318-253-7888
Mailing Address - Fax:
Practice Address - Street 1:212 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2310
Practice Address - Country:US
Practice Address - Phone:318-253-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA008927634251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health