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Creator Destiny Llc
Preferred Provider Organization in Kenner, Louisiana
NPI 1669861043

Creator Destiny Llc is a Preferred Provider Organization based in Kenner, LA. Creator Destiny Llc practices in Kenner, LA. The NPI Number for Creator Destiny Llc is 1669861043 and holds a License No. 4469 (Louisiana).

The current practice location address for Creator Destiny Llc is 503 E Loyola Dr, Kenner, LA and can be reached out via phone at 504-220-8442.

Location: 503 E Loyola Dr, Kenner, LA, 70063-2353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669861043
Provider Name
Creator Destiny Llc
Credential
Provider Entity Type
Organization
Address
503 E Loyola Dr, Kenner, LA, 70063-2353
Phone Number
504-220-8442
Fax Number
Provider Enumeration Date
01/22/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
503 E Loyola Dr
City
Kenner
State
Louisiana
Zip
70065-4119
Phone Number
504-220-8442
Fax Number
person
Provider Business Mailing Address Details
Address
503 E Loyola Dr
City
Kenner
State
Louisiana
Zip
70065-4119
Phone Number
504-220-8442
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
4469 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4469 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
4469 (Louisiana)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 4
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
4469 (Louisiana)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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