1003018904 NPI number — TALK WORKS PROFESSIONAL SERVICES, INC.

Table of content: (NPI 1003018904)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003018904 NPI number — TALK WORKS PROFESSIONAL SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TALK WORKS PROFESSIONAL SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TALK WORKS PROFESSIONAL SERVICES, LLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003018904
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4914 BISSONET DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70003-1138
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-343-2247
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2955 RIDGELAKE DR STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70002-4947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-838-9919
Provider Business Practice Location Address Fax Number:
504-834-3103
Provider Enumeration Date:
06/03/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TAO
Authorized Official First Name:
YEN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
504-579-3937

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)