Organization
ALPHACARE SUPPORT COORDINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANDELL COBB (EXECUTIVE DIRECTOR)
(504) 310-5952
Entity
Organization
Contact information
Practice address
7809 AIRLINE DR, SUITE 210, METAIRIE, LA 70003-6439
(504) 731-3100
(504) 731-3103
Mailing address
7809 AIRLINE DR, SUITE 210, METAIRIE, LA 70003-6439
(504) 731-3100
(504) 731-3103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2310712
—
LA
Enumeration date
07/20/2012
Last updated
07/06/2016
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