Provider Demographics
NPI:1144815119
Name:WE CARE EDUCATIONAL RESURCES OF LA
Entity type:Organization
Organization Name:WE CARE EDUCATIONAL RESURCES OF LA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ADDICTION COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:K
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:SR
Authorized Official - Credentials:713 LAC, CCS 017
Authorized Official - Phone:318-484-3913
Mailing Address - Street 1:3804 SPENCER ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71302-2242
Mailing Address - Country:US
Mailing Address - Phone:318-484-3913
Mailing Address - Fax:
Practice Address - Street 1:3804 SPENCER ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71302-2242
Practice Address - Country:US
Practice Address - Phone:318-484-3913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA713OtherSTATE OF LOUISIANA ADDICTIVE DISORDER REGULATORY AUTHORITY