Healthcare Provider Details

I. General information

NPI: 1578995122
Provider Name (Legal Business Name): JULIE ZENO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7464 EXCHANGE PL STE 201
BATON ROUGE LA
70806-1519
US

IV. Provider business mailing address

7464 EXCHANGE PL STE 201
BATON ROUGE LA
70806-1519
US

V. Phone/Fax

Practice location:
  • Phone: 225-831-4998
  • Fax: 225-831-4997
Mailing address:
  • Phone: 225-831-4998
  • Fax: 225-831-4997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number12354
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number12354
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12354
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: