Provider Demographics
NPI:1720111586
Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Other - Org Name:COUNSLEING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIVISION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-596-3097
Mailing Address - Street 1:1000 HOWARD AVENUE STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70013
Mailing Address - Country:US
Mailing Address - Phone:504-310-6933
Mailing Address - Fax:504-523-2789
Practice Address - Street 1:1000 HOWARD AVENUE STE 200
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70013
Practice Address - Country:US
Practice Address - Phone:504-310-6933
Practice Address - Fax:504-523-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2113101YM0800X
LA75531041C0700X
LA44541041C0700X
LA1041C0700X
LA11861041C0700X
LA11561041C0700X
LA7521041C0700X
LA164106H00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4C309Medicare ID - Type Unspecified