Healthcare Provider Details

I. General information

NPI: 1235776774
Provider Name (Legal Business Name): IMARI OSBY CD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEKA IMARI OSBY CD

II. Dates (important events)

Enumeration Date: 12/03/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2406 PEETE ST
NEW ORLEANS LA
70115-5746
US

IV. Provider business mailing address

2406 PEETE ST
NEW ORLEANS LA
70115-5746
US

V. Phone/Fax

Practice location:
  • Phone: 504-222-1209
  • Fax:
Mailing address:
  • Phone: 504-373-9425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: