| Enhanced Destiny Services Inc | |
|
2740 Iberville St New Orleans LA 70119 | |
| (504) 821-1339 | |
| (504) 821-8185 |
| Full Name | Enhanced Destiny Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2740 Iberville St, New Orleans, Louisiana |
| Authorized Official Name and Position | Michael Robert Mcneil (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5048847560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhanced Destiny Services Inc 2740 Iberville St New Orleans LA 70119 Ph: (504) 821-1339 | Enhanced Destiny Services Inc 2740 Iberville St New Orleans LA 70119 Ph: (504) 821-1339 |
| NPI Number | 1023157302 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023157302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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