Healthcare Provider Details

I. General information

NPI: 1235638248
Provider Name (Legal Business Name): ROCHELLE IRSCH KEELING NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

2439 MANHATTAN BLVD STE 309
HARVEY LA
70058-5360
US

IV. Provider business mailing address

1801 MANHATTAN BLVD STE J280
HARVEY LA
70058-7300
US

V. Phone/Fax

Practice location:
  • Phone: 504-457-4740
  • Fax:
Mailing address:
  • Phone: 504-458-4740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2938
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2938
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: