Provider Demographics
NPI:1184244360
Name:KIJIJI ADVOCACY ORGANIZATION
Entity type:Organization
Organization Name:KIJIJI ADVOCACY ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROMOTIONS/MARKETING
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:936-500-2463
Mailing Address - Street 1:3400 KENT AVE APT M112
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-3998
Mailing Address - Country:US
Mailing Address - Phone:985-960-2414
Mailing Address - Fax:
Practice Address - Street 1:9 CAMBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2702
Practice Address - Country:US
Practice Address - Phone:713-859-5872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty