Provider Demographics
| NPI: | 1790395341 |
|---|---|
| Name: | TOUCANET COUNSELLING LLC. |
| Entity type: | Organization |
| Organization Name: | TOUCANET COUNSELLING LLC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EMPLOYEE |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | SAMUEL |
| Authorized Official - Middle Name: | L |
| Authorized Official - Last Name: | JOHNSON |
| Authorized Official - Suffix: | III |
| Authorized Official - Credentials: | CAC, CCGC |
| Authorized Official - Phone: | 504-261-4976 |
| Mailing Address - Street 1: | 2439 MANHATTAN BLVD STE 102-4 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HARVEY |
| Mailing Address - State: | LA |
| Mailing Address - Zip Code: | 70058-5473 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 504-766-8456 |
| Mailing Address - Fax: | 504-766-8457 |
| Practice Address - Street 1: | 2439 MANHATTAN BLVD STE 102-4 |
| Practice Address - Street 2: | |
| Practice Address - City: | HARVEY |
| Practice Address - State: | LA |
| Practice Address - Zip Code: | 70058-5473 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 504-766-8456 |
| Practice Address - Fax: | 504-766-8457 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-08-07 |
| Last Update Date: | 2020-11-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
| No | 251K00000X | Agencies | Public Health or Welfare | Group - Multi-Specialty | |
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
| No | 253J00000X | Agencies | Foster Care Agency | ||
| No | 261QC1800X | Ambulatory Health Care Facilities | Clinic/Center | Corporate Health | |
| No | 261QF0050X | Ambulatory Health Care Facilities | Clinic/Center | Family Planning, Non-Surgical | |
| No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | Group - Multi-Specialty |
| No | 261QM1100X | Ambulatory Health Care Facilities | Clinic/Center | Military/U.S. Coast Guard Outpatient | |
| No | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | Methadone | |
| No | 372600000X | Nursing Service Related Providers | Adult Companion | Group - Multi-Specialty |
