Healthcare Provider Details

I. General information

NPI: 1073676383
Provider Name (Legal Business Name): LYNNE BILBE DEBLOIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S SOLOMON ST
NEW ORLEANS LA
70119-5928
US

IV. Provider business mailing address

6313 LAFRENIERE ST
METAIRIE LA
70003-4013
US

V. Phone/Fax

Practice location:
  • Phone: 504-485-0147
  • Fax: 504-483-3559
Mailing address:
  • Phone: 504-885-5634
  • Fax: 504-885-5634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1950
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: