Healthcare Provider Details

I. General information

NPI: 1750072112
Provider Name (Legal Business Name): CEDRANEKA CHERIAN ALEXANDER PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 LAKE FOREST BLVD STE 302
NEW ORLEANS LA
70127-6205
US

IV. Provider business mailing address

431 BOUTTE ESTATES DR
BOUTTE LA
70039-3423
US

V. Phone/Fax

Practice location:
  • Phone: 504-207-1921
  • Fax: 504-309-9066
Mailing address:
  • Phone: 504-908-6525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC10555
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: