Healthcare Provider Details

I. General information

NPI: 1336499755
Provider Name (Legal Business Name): NEW ORLEANS COUNSELING & HYPNOSIS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4038 CANAL ST
NEW ORLEANS LA
70119-6021
US

IV. Provider business mailing address

4038 CANAL ST
NEW ORLEANS LA
70119-6021
US

V. Phone/Fax

Practice location:
  • Phone: 504-669-1980
  • Fax: 888-959-6762
Mailing address:
  • Phone: 504-669-1980
  • Fax: 888-959-6762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC 2811
License Number StateLA

VIII. Authorized Official

Name: HOPE GERSOVITZ
Title or Position: OWNER
Credential: LPC, LMFT
Phone: 504-669-1980