Healthcare Provider Details

I. General information

NPI: 1134351554
Provider Name (Legal Business Name): JENNIFER DESHOTEL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2009
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2372 SAINT CLAUDE AVE STE 220
NEW ORLEANS LA
70117-8388
US

IV. Provider business mailing address

2373 SAINT CLAUDE AVE SUITE 220
NEW ORLEANS LA
70117
US

V. Phone/Fax

Practice location:
  • Phone: 985-302-0908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number00079107
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4098
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number98001
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: