Provider Demographics
NPI:1376304311
Name:POSITIVE SOLUTIONS COMMUNITY HEALTHCARE
Entity type:Organization
Organization Name:POSITIVE SOLUTIONS COMMUNITY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONDOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-715-0696
Mailing Address - Street 1:601 POYDRAS ST STE 102-1081
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-6029
Mailing Address - Country:US
Mailing Address - Phone:504-715-0696
Mailing Address - Fax:
Practice Address - Street 1:601 POYDRAS ST STE 102-1081
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-6029
Practice Address - Country:US
Practice Address - Phone:504-715-0696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)