Healthcare Provider Details

I. General information

NPI: 1730428541
Provider Name (Legal Business Name): CIERA A TRUFANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2013
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 CHARLES DR
CHALMETTE LA
70043
US

IV. Provider business mailing address

3400 KENT AVE 301 B
METAIRIE LA
70006-3951
US

V. Phone/Fax

Practice location:
  • Phone: 504-278-4006
  • Fax: 504-278-4007
Mailing address:
  • Phone: 504-858-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7270
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: