Organization
ACCESS HEALTH LOUISIANA
Active
Other names
Warren Easton High School SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KEISER (PRESIDENT)
(504) 575-3700
Entity
Organization
Contact information
Practice address
3036 IBERVILLE STREET, NEW ORLEANS, LA 70119-4206
(504) 324-7400
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
DO.000157
LA
104100000X
Social Worker
8870
LA
207Q00000X
Family Medicine Physician
MD023712
LA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2366882
—
LA
Enumeration date
04/03/2014
Last updated
09/13/2016
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