Provider Demographics
NPI:1992165740
Name:REACHING FAR ALWAYS, LLC
Entity type:Organization
Organization Name:REACHING FAR ALWAYS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:ELLIS
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, BCABA
Authorized Official - Phone:504-621-5499
Mailing Address - Street 1:244 LAYMAN ST
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:LA
Mailing Address - Zip Code:70094-2524
Mailing Address - Country:US
Mailing Address - Phone:504-621-5499
Mailing Address - Fax:504-436-4595
Practice Address - Street 1:244 LAYMAN ST
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:LA
Practice Address - Zip Code:70094-2524
Practice Address - Country:US
Practice Address - Phone:504-621-5499
Practice Address - Fax:504-436-4595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health