MEDICARE: TIFFANY POLITE HENDERSON LPC, NCC

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	101Y00000X	Counselor
2	101Y00000X	Counselor	7423	LA

General Provider Information

NPI Number	:	1275056624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY POLITE HENDERSON LPC, NCC

Provider Business Mailing Address
First Line	:	152 WOODRUFF DR
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70461-4181
Country	:	US
Telephone Number	:	504-230-4310
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 RIDGELAKE DR STE 104
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-4946
Country	:	US
Telephone Number	:	504-230-4310
Fax Number	:

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

Provider Enumeration Date	:	07/18/2017
Last Update Date	:	02/22/2023

Similar Medicare Providers

1033008610 — MARCELLA FOREST CCC-SLP
Practice Location Address:

2901 RIDGELAKE DR STE 102
METAIRIE, LA
70002-4946

Practice Phone: 504-354-8078
Practice Fax:

1902909146 — MS. JANE LABRECHE HEBERT LCSW
Practice Location Address:

2901 RIDGELAKE , SUITE 102
METAIRIE, LA
70002-4946

Practice Phone: 504-835-9387
Practice Fax: 504-837-6055

1073657839 — MS. LAURA MARIE MYERS MSW
Practice Location Address:

2901 RIDGELAKE DRIVE , SUITE 116
METAIRIE, LA
70002-4946

Practice Phone: 504-833-1869
Practice Fax: 504-834-1870

1386827822 — MRS. MONICA BALTODANO-DUBEY LPC, NCC
Practice Location Address:

2901 RIDGELAKE DR STE 104
METAIRIE, LA
70002-4946

Practice Phone: 504-621-7914
Practice Fax: 504-324-0424

1003092404 — MS. ELLEN LYNN SANTOLUCITO L.P.C.
Practice Location Address:

2901 RIDGELAKE DR STE 108
METAIRIE, LA
70002-4946

Practice Phone: 504-251-6277
Practice Fax:

1447643416 — KATIE LYNN LPC
Practice Location Address:

2901 RIDGELAKE DR STE 104
METAIRIE, LA
70002-4946

Practice Phone: 504-388-3636
Practice Fax: 504-866-3364

Directions to “ TIFFANY POLITE HENDERSON LPC, NCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.