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Organization

CHARTWELL CONSORTIUM

Active
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Organization

CHARTWELL CONSORTIUM

Active
Other names
Chartwell Center
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE T LASSERRE PH.D., BCBA-D, LBA (CLINICAL DIRECTOR)
(504) 899-2478
Entity
Organization

Contact information

Practice address
1225 MAGAZINE ST, NEW ORLEANS, LA 70130-4219
(504) 899-2478
(504) 899-2416
Mailing address
1225 MAGAZINE ST, NEW ORLEANS, LA 70130-4219
(504) 899-2478
(504) 899-2416

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
L-220
LA
261QD1600X
Developmental Disabilities Clinic/Center
Primary
261QM1300X
Multi-Specialty Clinic/Center
L-220
LA

Other

Enumeration date
05/25/2016
Last updated
08/21/2019
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