Healthcare Provider Details

I. General information

NPI: 1053837419
Provider Name (Legal Business Name): JEMAL CAUSEY B.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 BELLEVILLE STREET
NEW ORLEANS LA
70114
US

IV. Provider business mailing address

1210 BELLEVILLE ST
NEW ORLEANS LA
70114-4406
US

V. Phone/Fax

Practice location:
  • Phone: 504-533-1756
  • Fax:
Mailing address:
  • Phone: 504-533-1756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: