Provider Demographics
NPI:1194146282
Name:CRESCENT CITY COUNSELING CENTER & ASSOCIATES, LLC
Entity type:Organization
Organization Name:CRESCENT CITY COUNSELING CENTER & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:ARTURO
Authorized Official - Last Name:SALGADO
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD, LPC, LMFT
Authorized Official - Phone:504-491-1034
Mailing Address - Street 1:700 PAPWORTH AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3009
Mailing Address - Country:US
Mailing Address - Phone:504-491-1034
Mailing Address - Fax:504-286-8106
Practice Address - Street 1:700 PAPWORTH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3009
Practice Address - Country:US
Practice Address - Phone:504-491-1034
Practice Address - Fax:504-286-8106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health