# UPWARD HEALTH OF LOUISIANA LLC

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

## Provider details

- **NPI number:** 1871144725
- **Authorized official:** CHRISTAL LONG (CREDENTIALING MANAGER)
- **Authorized official phone:** (888) 985-5455

## Contact information

- **Practice address:** 6221 S CLAIBORNE AVE STE 537, NEW ORLEANS, LA 70125-4142
- **Practice address phone:** (888) 985-5455
- **Mailing address:** 188 VALLEY ST STE 201, PROVIDENCE, RI 02909-2468
- **Mailing address phone:** (888) 985-5455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |

## Other

- **Enumeration date:** 09/23/2019
- **Last updated:** 08/20/2021