Healthcare Provider Details

I. General information

NPI: 1699015578
Provider Name (Legal Business Name): KENA TIGLER M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 CHARLES DR
CHALMETTE LA
70043
US

IV. Provider business mailing address

2108 WESTBEND PKWY
NEW ORLEANS LA
70114-4930
US

V. Phone/Fax

Practice location:
  • Phone: 504-278-4006
  • Fax:
Mailing address:
  • Phone: 504-366-3416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: