Provider Demographics
NPI:1104065655
Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Entity type:Organization
Organization Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:TRAUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-835-5312
Mailing Address - Street 1:1000 HOWARD AVE
Mailing Address - Street 2:COUNSELING SOLUTIONS
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1903
Mailing Address - Country:US
Mailing Address - Phone:504-832-3215
Mailing Address - Fax:504-835-5018
Practice Address - Street 1:921 ARIS AVE
Practice Address - Street 2:SUITE A-B
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2207
Practice Address - Country:US
Practice Address - Phone:504-835-5007
Practice Address - Fax:504-835-5018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health