| Healthy Changes, Llc | |
|
2714 Canal St Ste 305 New Orleans LA 70119-5570 | |
| (504) 373-4467 | |
| (888) 340-8273 |
| Full Name | Healthy Changes, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2714 Canal St Ste 305, New Orleans, Louisiana |
| Authorized Official Name and Position | Chakakhan Jarreau-griffin (CEO) |
| Authorized Official Contact | 5043734467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Changes, Llc 3157 Gentilly Blvd # 2412 New Orleans LA 70122-3872 Ph: (504) 373-4467 | Healthy Changes, Llc 2714 Canal St Ste 305 New Orleans LA 70119-5570 Ph: (504) 373-4467 |
| NPI Number | 1770115305 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Medicare PECOS PAC ID | 5193191112 |
|---|---|
| Medicare Enrollment ID | O20221017001799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770115305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Chakakhan Jarreau-griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649570912 PECOS PAC ID: 4385816941 Enrollment ID: I20221017002245 |
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