Healthcare Provider Details

I. General information

NPI: 1255787339
Provider Name (Legal Business Name): ALEXIZ BARTHELEMY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 OPELOUSAS AVE
NEW ORLEANS LA
70114-4343
US

IV. Provider business mailing address

8710 HIGHWAY 23 UNIT 121
BELLE CHASSE LA
70037-5009
US

V. Phone/Fax

Practice location:
  • Phone: 504-881-0567
  • Fax:
Mailing address:
  • Phone: 832-655-8909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13655
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: