Provider Demographics
NPI:1154731339
Name:THE COPING CENTER, LLC
Entity type:Organization
Organization Name:THE COPING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-430-6108
Mailing Address - Street 1:1901 HIGHWAY 190 APT M130
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-3493
Mailing Address - Country:US
Mailing Address - Phone:504-430-6108
Mailing Address - Fax:
Practice Address - Street 1:1901 HIGHWAY 190 APT M130
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-3493
Practice Address - Country:US
Practice Address - Phone:504-430-6108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1972757235OtherINDIVIDUAL CLINICIAN NPPES