Healthcare Provider Details

I. General information

NPI: 1396248274
Provider Name (Legal Business Name): PIPER THEVENET M.S, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2018
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 CANAL ST
NEW ORLEANS LA
70119
US

IV. Provider business mailing address

4300 WEST METAIRIE RD STE 103Q
METAIRIE LA
70002
US

V. Phone/Fax

Practice location:
  • Phone: 504-482-2735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7376
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: