Organization
SPRINGS OF LIFE SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AUDREY PATRICIA BLACKWOOD LPC (CEO/DIRECTOR)
(504) 495-0600
Entity
Organization
Contact information
Practice address
2714 CANAL ST, SUITE #304, NEW ORLEANS, LA 70119-5548
(504) 495-0600
Mailing address
215 DEVON RD, LA PLACE, LA 70068-5205
(504) 495-0600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
3753
LA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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