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Organization

JOLLY KIDS TOO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ASHLEY TAYLOR JOLLY (OWNER)
(504) 491-9090
Entity
Organization

Contact information

Practice address
1004 E JUDGE PEREZ DR, CHALMETTE, LA 70043-5305
(504) 682-2121
Mailing address
1004 E JUDGE PEREZ DR, CHALMETTE, LA 70043-5305
(504) 682-2121

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103K00000X
Behavior Analyst
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447750096
LA
05
1619675782
LA
Enumeration date
08/06/2024
Last updated
01/22/2025
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