Healthcare Provider Details

I. General information

NPI: 1023913258
Provider Name (Legal Business Name): CANOPY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4902 CANAL ST STE 305
NEW ORLEANS LA
70119-5870
US

IV. Provider business mailing address

428 S CLARK ST
NEW ORLEANS LA
70119-7006
US

V. Phone/Fax

Practice location:
  • Phone: 504-222-2581
  • Fax:
Mailing address:
  • Phone: 504-222-2581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTINE JOHNSON
Title or Position: OWNER
Credential: LPC
Phone: 504-222-2581