Organization
DESTINED FOR A CHANGE, INC
Active
Organization
DESTINED FOR A CHANGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDDESHA STALKS (EXECUTIVE DIRECTOR)
(504) 766-7098
Entity
Organization
Contact information
Practice address
2968 GENERAL COLLINS AVE, NEW ORLEANS, LA 70114
(504) 394-5937
(504) 394-8197
Mailing address
2968 GENERAL COLLINS AVE, NEW ORLEANS, LA 70114-6859
(504) 394-5937
(504) 394-8197
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153374
—
LA
01
—
2203783927
BHSP
LA
Enumeration date
11/07/2010
Last updated
04/11/2026
Update your record
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