Provider Demographics
NPI:1700339777
Name:EKHAYA YOUTH PROJECT
Entity Type:Organization
Organization Name:EKHAYA YOUTH PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSW
Authorized Official - Prefix:MS
Authorized Official - First Name:SHONELL
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-373-6062
Mailing Address - Street 1:4300 GENERAL MEYER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3528
Mailing Address - Country:US
Mailing Address - Phone:504-385-3550
Mailing Address - Fax:
Practice Address - Street 1:4300 GENERAL MEYER AVENUE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131
Practice Address - Country:US
Practice Address - Phone:504-385-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health