Healthcare Provider Details

I. General information

NPI: 1083888317
Provider Name (Legal Business Name): KATHLEEN LEVY-OQUELI PHD, MPH, LCSW, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 CITRUS BLVD STE D133
NEW ORLEANS LA
70123-8520
US

IV. Provider business mailing address

5860 CITRUS BLVD STE D133
NEW ORLEANS LA
70123-8520
US

V. Phone/Fax

Practice location:
  • Phone: 504-323-4340
  • Fax:
Mailing address:
  • Phone: 504-323-4340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1399
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number105978
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4644
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28663
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number1078
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: