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Organization

MHSD CRIMINAL COURT BEHAVIORAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY LEOLA PERRAULT-SIMMONS MSW/CIT (SOCIAL SERVICE COUNSELOR III)
(504) 826-2007
Entity
Organization

Contact information

Practice address
2601 TULANE AVE SUITE 804, NEW ORLEANS, LA 70119
(504) 826-2006
(504) 826-2005
Mailing address
2601 TULANE AVE, NEW ORLEANS, LA 70119-7462
(504) 826-2006
(504) 826-2005

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3531
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3531
LA
Enumeration date
02/13/2009
Last updated
02/13/2009
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