| Volunteers Of America Southeast Louisiana, Inc. | |
|
3801 Canal St New Orleans LA 70119-6082 | |
| (504) 483-3558 | |
| (504) 525-4483 |
| Full Name | Volunteers Of America Southeast Louisiana, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3801 Canal St, New Orleans, Louisiana |
| Authorized Official Name and Position | Jason Burt (EVP OF ENTERPRISE & ADMINISTRATION) |
| Authorized Official Contact | 5044868674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Volunteers Of America Southeast Louisiana, Inc. 4152 Canal St New Orleans LA 70119-5941 Ph: (504) 482-2130 | Volunteers Of America Southeast Louisiana, Inc. 3801 Canal St New Orleans LA 70119-6082 Ph: (504) 483-3558 |
| NPI Number | 1164786232 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 2163761297 |
|---|---|
| Medicare Enrollment ID | O20200115000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164786232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Delores Morris-becnel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477859239 PECOS PAC ID: 4486838745 Enrollment ID: I20110411000602 |
| Provider Name | Kujachalia Knapper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265844674 PECOS PAC ID: 0446557888 Enrollment ID: I20241009003078 |
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