Healthcare Provider Details

I. General information

NPI: 1861935488
Provider Name (Legal Business Name): ERIC JAMES KNATT CSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ERIC J. KNATT CSW

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 N TONTI ST
NEW ORLEANS LA
70119-3598
US

IV. Provider business mailing address

3604 CANAL ST
NEW ORLEANS LA
70119-6111
US

V. Phone/Fax

Practice location:
  • Phone: 504-715-6142
  • Fax:
Mailing address:
  • Phone: 504-822-4333
  • Fax: 504-822-4339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPLC8926
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5085
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number5085
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: