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Organization

STRIVING FOR OPTIMAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANISHA LEJON CLARK (OWNER)
(504) 356-8660
Entity
Organization

Contact information

Practice address
4134 FLORIDA AVE STE 203, KENNER, LA 70065-2190
(504) 356-8660
Mailing address
4134 FLORIDA AVE STE 203, KENNER, LA 70065-2190
(504) 356-8660

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
04/26/2021
Last updated
08/18/2021
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