Healthcare Provider Details

I. General information

NPI: 1285584912
Provider Name (Legal Business Name): ARIEL DENNIS LSSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 WESTBEND PKWY
NEW ORLEANS LA
70114-2458
US

IV. Provider business mailing address

2102 S CARROLLTON AVE
NEW ORLEANS LA
70118-2951
US

V. Phone/Fax

Practice location:
  • Phone: 504-359-8394
  • Fax:
Mailing address:
  • Phone: 662-552-7013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSSP63
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: