| Nola Art Therapy And Counseling, L.l.c. | |
|
1000 Veterans Memorial Blvd Suite 310 Metairie LA 70005-2852 | |
| (504) 220-1483 | |
| (888) 248-7189 |
| Full Name | Nola Art Therapy And Counseling, L.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 1000 Veterans Memorial Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Elizabeth Beu Bourgeois (DIRECTOR) |
| Authorized Official Contact | 5042201483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nola Art Therapy And Counseling, L.l.c. 321 Lake Ave Metairie LA 70005-4221 Ph: (504) 220-1483 | Nola Art Therapy And Counseling, L.l.c. 1000 Veterans Memorial Blvd Suite 310 Metairie LA 70005-2852 Ph: (504) 220-1483 |
| NPI Number | 1194066290 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 9032584032 |
|---|---|
| Medicare Enrollment ID | O20230405000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194066290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 4891 (Louisiana) | Primary |
| Provider Name | Nicole M Rabalais |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154777209 PECOS PAC ID: 5698055838 Enrollment ID: I20161206000992 |
| Provider Name | Stephanie Claire Condit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689273062 PECOS PAC ID: 2668824921 Enrollment ID: I20240123000776 |
| Provider Name | Renee Marie Aymami |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801265459 PECOS PAC ID: 7517310048 Enrollment ID: I20240131002067 |
| Provider Name | Kathryn Michael Stephenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396288098 PECOS PAC ID: 3375986433 Enrollment ID: I20240206003611 |
| Provider Name | Jessie Lanae James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598233314 PECOS PAC ID: 9133563463 Enrollment ID: I20240214004187 |
| Provider Name | Elizabeth Beu Bourgeois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689914301 PECOS PAC ID: 0941675946 Enrollment ID: I20240215002295 |
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