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NPI Code Detail

MEDICARE: TAILAR B MOSES

MEDICARE: TAILAR B MOSES
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
1101YP2500XProfessional Counselor9195LA

General Provider Information

NPI Number : 1801269386
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAILAR B MOSES
Provider Business Mailing Address
First Line : 2001 OAK CREEK RD APT C122
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70123-5841
Country : US
Telephone Number : 504-609-9014
Fax Number :
Provider Business Practice Location Address
First Line : 3525 N CAUSEWAY BLVD STE 501
Second Line :
City : METAIRIE
State : LA
Zip : 70002-3697
Country : US
Telephone Number : 504-309-0259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 07/01/2026

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Directions to “ TAILAR B MOSES ” Practice Location

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