LOUISIANA SUPPORT SERVICES NPI 1790040939

NPI Information

NPI: 1790040939
Provider Name: LOUISIANA SUPPORT SERVICES
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Address: 4480 GENERAL DEGAULLE DR
NEW ORLEANS, LA
ZIP 70131
Phone: (504) 309-9046

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NPI Details

LOUISIANA SUPPORT SERVICES is an adolescent and children mental health clinic center in New Orleans, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. LOUISIANA SUPPORT SERVICES NPI is 1790040939. The provider is registered as an organization entity type.

The provider's business location address is:

4480 GENERAL DEGAULLE DR
NEW ORLEANS, LA
ZIP 70131-941
Phone: (504) 309-9046
Fax: (504) 309-9216

The provider's authorized official is Walter B Harris .
The authorized official title is Owner and has the following contact phone number (252) 717-5717.

The enumeration date for this NPI number is 7/12/2012 and was last updated on 7/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2139495	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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