Organization
YOUTH SERVICE BUREAU OF ST TAMMANY
Active
Other names
Youth Service Bureau
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEVELAND WESTER LCSW (PRESIDENT & CEO)
(985) 893-2570
Entity
Organization
Contact information
Practice address
430 N NEW HAMPSHIRE ST, COVINGTON, LA 70433-2830
(985) 893-2570
(985) 893-2758
Mailing address
430 N NEW HAMPSHIRE ST, COVINGTON, LA 70433-2830
(985) 893-2570
(985) 893-2758
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
194A
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1434001
—
LA
05
—
1434019
—
LA
Enumeration date
10/27/2011
Last updated
08/06/2024
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