| Organization Name: | ELLA JEAN MCGINNIS |
| NPI Number: | 1407912090 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THANE PAINIA (CONSULTANT) |
| Mailing Address: | 57620 True Hope Ln Plaquemine |
| State: | LA US |
| Postal Code: | 707644541 |
| Phone Number: | 2256879902 |
| Fax Number: | 2256879902 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 10/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 19-4709 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |