Organization
REACHING FOR SUCCESS XOUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA JACKSON PHD (CEO / EXECUTIVE DIRECTOR)
(504) 994-2012
Entity
Organization
Contact information
Practice address
827 SOUTH CAUSEWAY BLVD, SUITE 106, METAIRIE, LA 70121
(504) 832-4989
(504) 831-7712
Mailing address
PO BOX 7792, METAIRIE, LA 70010-7792
(504) 832-4989
(504) 831-7712
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
332BC3200X
Customized Equipment (DME)
—
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2117483
—
LA
05
—
2117491
—
LA
05
—
2117505
—
LA
05
—
2117653
—
LA
Enumeration date
02/21/2013
Last updated
02/21/2013
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