Healthcare Provider Details

I. General information

NPI: 1831802990
Provider Name (Legal Business Name): NOELLE RAYMOND LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ALLEN TOUSSAINT BLVD
NEW ORLEANS LA
70124-2537
US

IV. Provider business mailing address

819 HIDALGO ST
NEW ORLEANS LA
70124-2719
US

V. Phone/Fax

Practice location:
  • Phone: 504-912-6789
  • Fax:
Mailing address:
  • Phone: 504-912-6789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: