Healthcare Provider Details

I. General information

NPI: 1609780709
Provider Name (Legal Business Name): SWEET OLIVE PEDIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 RIDGELAKE DR
METAIRIE LA
70002-4967
US

IV. Provider business mailing address

3009 42ND ST
METAIRIE LA
70001-2942
US

V. Phone/Fax

Practice location:
  • Phone: 225-278-5388
  • Fax:
Mailing address:
  • Phone: 225-278-5388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHELSEA LAURETTE PIERCE
Title or Position: OWNER
Credential: MOT, LOTR, CHT
Phone: 225-278-5388