FOOTPRINTS FOR LIFE YOUTH AND FAMILY SERVICES LLC (NPI# 1831567171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831567171 |
| Entity Type | Organization |
| Organization Name | FOOTPRINTS FOR LIFE YOUTH AND FAMILY SERVICES LLC |
| Practice Address |
1040 Old Spanish Trl Suite 10 Slidell LA 70461 |
| Mailing Address |
2439 Delachaise St New Orleans LA 70115-6123 |
| Practice Telephone | 5042234656 |
| Practice Fax Number | 8885522718 |
| Mailing Telephone | 5042234656 |
| Mailing Fax Number | 8885522718 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | MR. RONALD MORRIS JR. (CEO) |
| Authorized Official Telephone | 5042234656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1040 OLD SPANISH TRL SUITE 10 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467921163 | Sabrina D Marsh | Community/Behavioral Health | 7216 Oakpoint Dr, Slidell, LA 70460-3978 | 2018-11-26 |
| 1114464476 | Ain Greenaway | Community/Behavioral Health | 550 Old Spanish, Slidell, LA 70458 | 2017-01-25 |
| 1962866087 | Anointed Appointment | Community/Behavioral Health | 1927 Corporate Square Dr Ste C, Slidell, LA 70458-3166 | 2016-04-06 |
| 1336500149 | Jubilee Counseling Service | Community/Behavioral Health | 59496 Vincent St, Slidell, LA 70460-5032 | 2016-03-08 |
| 1184080020 | Suncrest Behavioral Health Services | Community/Behavioral Health | 200 Rue Jonathan, Slidell, LA 70461-5438 | 2016-01-07 |
| 1548631351 | Caring Hearts Professional Health Services | Community/Behavioral Health | 1349 Corporate Square Dr, Suite 2, Slidell, LA 70458-3157 | 2015-10-19 |
| 1518238021 | Lisa Schlater Rivarde | Community/Behavioral Health | 3628 Meadowdale Dr, Slidell, LA 70458-4718 | 2012-01-16 |
| 1245516897 | Youth Service Bureau of St Tammany | Community/Behavioral Health | 150 Cleveland Ave, Slidell, LA 70458-3920 | 2011-10-27 |
| 1265748693 | Abundant Health, Inc. | Community/Behavioral Health | 2053 Gause Blvd E, Suite 150, Slidell, LA 70461-5449 | 2010-08-23 |
| 1750537833 | Alison Johnston LLC | Community/Behavioral Health | 102 Village St Ste C, Slidell, LA 70458-5354 | 2008-08-08 |
| Find all providers in SLIDELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.