Organization
ACCESS HEALTH LOUISIANA
Active
Other names
Cohen College Prep High School SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEISER (PRESIDENT)
(504) 575-3700
Entity
Organization
Contact information
Practice address
3520 DRYADES ST, NEW ORLEANS, LA 70115-5331
(985) 307-1600
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
MD.14624R
LA
104100000X
Social Worker
8870
LA
207Q00000X
Family Medicine Physician
MD.023712
LA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2393227
—
LA
Enumeration date
05/11/2015
Last updated
09/02/2016
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