Healthcare Provider Details

I. General information

NPI: 1003812850
Provider Name (Legal Business Name): MCGRAW AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 01/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 WADE ST STE 5
LULING LA
70070-2054
US

IV. Provider business mailing address

50 WADE ST STE 5
LULING LA
70070-2054
US

V. Phone/Fax

Practice location:
  • Phone: 985-231-5045
  • Fax: 985-331-0110
Mailing address:
  • Phone: 985-231-5045
  • Fax: 985-331-0110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4644
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1399
License Number StateLA

VIII. Authorized Official

Name: DR. KATHLEEN OQUELI MCGRAW
Title or Position: PRESIDENT / CEO
Credential: PHD, MPH, LCSW, LAC
Phone: 504-459-9839