Provider Demographics
NPI:1104229764
Name:EDEN COUNSELING AND ASSESSMENT SERVICES INC
Entity type:Organization
Organization Name:EDEN COUNSELING AND ASSESSMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-559-3757
Mailing Address - Street 1:9511 CHEF MENTEUR HWY STE 109
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-4231
Mailing Address - Country:US
Mailing Address - Phone:504-475-4017
Mailing Address - Fax:
Practice Address - Street 1:9511 CHEF MENTEUR HWY STE 109
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-4231
Practice Address - Country:US
Practice Address - Phone:504-475-4017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5301251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health