| Practical Psychotherapy Inc | |
|
2820 Athania Pkwy Ste 3 Metairie LA 70002-5981 | |
| (504) 291-3898 | |
| Not Available |
| Full Name | Practical Psychotherapy Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2820 Athania Pkwy Ste 3, Metairie, Louisiana |
| Authorized Official Name and Position | Lorey Delap (PRESIDENT) |
| Authorized Official Contact | 5042913898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Psychotherapy Inc 2820 Athania Pkwy Ste 3 Metairie LA 70002-5981 Ph: (504) 291-3898 | Practical Psychotherapy Inc 2820 Athania Pkwy Ste 3 Metairie LA 70002-5981 Ph: (504) 291-3898 |
| NPI Number | 1346897337 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Medicare PECOS PAC ID | 3274863931 |
|---|---|
| Medicare Enrollment ID | O20190923001654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346897337 | NPI | - | NPPES |
| 1134303274 | Other | INDIVIDUAL NPI | |
| 7329 | Other | LA | STATE SOCIAL WORK LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lorey Delap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134303274 PECOS PAC ID: 1052481850 Enrollment ID: I20080605000526 |
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