Healthcare Provider Details

I. General information

NPI: 1295093284
Provider Name (Legal Business Name): GENEVA CEASAR FARNESS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GENEVA A. CEASAR

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 CANAL ST. STE 201
NEW ORLEANS LA
70119
US

IV. Provider business mailing address

2626 CANAL ST. STE 201
NEW ORLEANS LA
70119
US

V. Phone/Fax

Practice location:
  • Phone: 504-452-0881
  • Fax:
Mailing address:
  • Phone: 504-525-2366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4334
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number218354
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4334
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: