Organization
LA FAMILIA DE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONELL L DILLON LCSW-BACS (CEO)
(504) 259-5407
Entity
Organization
Contact information
Practice address
7809 AIRLINE DR STE 200A, METAIRIE, LA 70003-6440
(504) 333-2206
(504) 389-6219
Mailing address
1411 S WILSON AVE, METAIRIE, LA 70003-6223
(504) 259-5407
(504) 389-6219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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