MEDICARE: DELANEY CAMPO LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	9165	LA

General Provider Information

NPI Number	:	1073305868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELANEY CAMPO LPC

Provider Business Mailing Address
First Line	:	30 THRASHER ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-4108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	456 LAURELLEAF LN
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-7203
Country	:	US
Telephone Number	:	985-789-7731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	05/19/2025

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Directions to “ DELANEY CAMPO LPC” Practice Location

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