Healthcare Provider Details

I. General information

NPI: 1154749968
Provider Name (Legal Business Name): ADRIANNE STRACHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 POYDRAS ST STE A
NEW ORLEANS LA
70119-7561
US

IV. Provider business mailing address

3425 EDENBORN AVE APT 147
METAIRIE LA
70002-3378
US

V. Phone/Fax

Practice location:
  • Phone: 504-345-2796
  • Fax:
Mailing address:
  • Phone: 504-559-5701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6226
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: