# MADE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548620552
- **Authorized official:** ASHLAY A DOUGLAS AA, AAS, BA, MSW (OWNER/CEO)
- **Authorized official phone:** (504) 221-5003

## Contact information

- **Practice address:** 5605 6TH ST, APT B, VIOLET, LA 70092-3083
- **Practice address phone:** (504) 221-5003
- **Mailing address:** PO BOX 224, VIOLET, LA 70092-0224
- **Mailing address phone:** (504) 221-5003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | LA | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | LA | — |

## Other

- **Enumeration date:** 03/03/2016
- **Last updated:** 03/03/2016