Healthcare Provider Details

I. General information

NPI: 1366987414
Provider Name (Legal Business Name): HAILEY LAMBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2016
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 BELLE TERRE BLVD
LA PLACE LA
70068-1715
US

IV. Provider business mailing address

576 BELLE TERRE BLVD
LA PLACE LA
70068-1715
US

V. Phone/Fax

Practice location:
  • Phone: 504-493-2271
  • Fax:
Mailing address:
  • Phone: 225-717-2477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: