Healthcare Provider Details

I. General information

NPI: 1598570434
Provider Name (Legal Business Name): EMMA ABUD LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 HOUMA BLVD STE 2B
METAIRIE LA
70006-2920
US

IV. Provider business mailing address

5610 MAGNOLIA ST
NEW ORLEANS LA
70115-6520
US

V. Phone/Fax

Practice location:
  • Phone: 504-226-6280
  • Fax:
Mailing address:
  • Phone: 504-460-7812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number17861
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: