1073738464 NPI number — ARRANGING REALITY IN YOUR WORLD (ARW), INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073738464 NPI number — ARRANGING REALITY IN YOUR WORLD (ARW), INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARRANGING REALITY IN YOUR WORLD (ARW), 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:
Provider Other Organization Name Type Code:
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:
1073738464
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8243
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70182-8243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-975-3823
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9020 LAKE FOREST BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70127-2916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-975-3823
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WIGGINS
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
RITA
Authorized Official Title or Position:
PRESIDENT-CLINICAL THERAPIST
Authorized Official Telephone Number:
504-975-3823

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  4404 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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