# INNOVATIVE COMMUNITY ACTION NETWORK

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

## Provider details

- **NPI number:** 1992073894
- **Authorized official:** DR. CHRISTOPHER DEWAYNE HANDY PHD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (318) 280-6110

## Contact information

- **Practice address:** 1108 DELLWOOD DR STE A, RICHWOOD, LA 71202-6738
- **Practice address phone:** (318) 280-6110
- **Mailing address:** PO BOX 7514, MONROE, LA 71211-7514
- **Mailing address phone:** (318) 280-6110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/06/2011
- **Last updated:** 12/06/2011