Healthcare Provider Details

I. General information

NPI: 1518440908
Provider Name (Legal Business Name): ROBERT CASWELL LPC, ATR-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 RIDGELAKE DR STE 100
METAIRIE LA
70002-4959
US

IV. Provider business mailing address

3200 RIDGELAKE DR STE 100
METAIRIE LA
70002-4959
US

V. Phone/Fax

Practice location:
  • Phone: 504-581-4333
  • Fax:
Mailing address:
  • Phone: 504-581-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4114
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: