# OH PROJECT- SOUTHSHORE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ohana Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508335910
- **Authorized official:** SEQUILLA CARTER (OWNER)
- **Authorized official phone:** (504) 450-6769

## Contact information

- **Practice address:** 23515 U.S. 190, NORTHLAKE ACADEMY BUILDING, MANDEVILLE, LA 70447
- **Practice address phone:** (985) 276-3040
- **Mailing address:** PO BOX 957, MADISONVILLE, LA 70447-0957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2018
- **Last updated:** 11/14/2018