Organization
GWANGIS COUNSELING RESEARCH TRAINING & SOCIAL SRVICE INSTITUTE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWANGI CARILESS RICHARDSON-ALSTON BS, MSW, LCSW, MPH (CLINICAL SOCIAL WORKER)
(504) 239-0989
Entity
Organization
Contact information
Practice address
2419 GENERAL TAYLOR ST, NEW ORLEANS, LA 70115-6134
(504) 239-0989
(504) 324-3693
Mailing address
2419 GENERAL TAYLOR ST, NEW ORLEANS, LA 70115-6134
(504) 239-0989
(504) 324-3693
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7358
LA
251S00000X
Community/Behavioral Health Agency
7358
LA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7358
LA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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