Healthcare Provider Details

I. General information

NPI: 1598344780
Provider Name (Legal Business Name): TORIONNE C LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 TALL PINES DR
NEW ORLEANS LA
70131-8432
US

IV. Provider business mailing address

3101 BEHRMAN HWY
NEW ORLEANS LA
70114-8001
US

V. Phone/Fax

Practice location:
  • Phone: 504-345-7228
  • Fax:
Mailing address:
  • Phone: 504-345-7228
  • Fax: 866-500-2186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9678
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: