Healthcare Provider Details

I. General information

NPI: 1992226658
Provider Name (Legal Business Name): REBECCA OHLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 06/01/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 CANAL ST
NEW ORLEANS LA
70119-6304
US

IV. Provider business mailing address

6210 BURGUNDY ST.
NEW ORLEANS LA
70117-1440
US

V. Phone/Fax

Practice location:
  • Phone: 504-931-4398
  • Fax:
Mailing address:
  • Phone: 504-931-4398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8830
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61115721
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: