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NPI Code Detail

MEDICARE: APRIL IVY LPC, NCC

MEDICARE: APRIL IVY 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
1251S00000XCommunity/Behavioral Health AgencyLA
2101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14659OTHERLASTATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS

General Provider Information

NPI Number : 1891161840
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL IVY LPC, NCC
Provider Business Mailing Address
First Line : 4300 S I 10 SERVICE RD W STE 215
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7436
Country : US
Telephone Number : 504-301-9990
Fax Number :
Provider Business Practice Location Address
First Line : 4300 S I 10 SERVICE RD W STE 215
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7436
Country : US
Telephone Number : 504-301-9990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 03/11/2019

Similar Medicare Providers

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1194181628 — DAVAUGHN PHILLIPS
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1134665813 — MARK JOHNSON OAKES
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1598283087 — TERRY DOMINO CSW, MLA
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Practice Fax: 504-301-9990

Directions to “ APRIL IVY LPC, NCC” Practice Location

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