Healthcare Provider Details

I. General information

NPI: 1780206383
Provider Name (Legal Business Name): TATIANA ROSHINIQUE COLLINS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7240 CROWDER BLVD STE 400
NEW ORLEANS LA
70127-1923
US

IV. Provider business mailing address

1500 LAFAYETTE ST STE 118
GRETNA LA
70053-5732
US

V. Phone/Fax

Practice location:
  • Phone: 504-323-3440
  • Fax:
Mailing address:
  • Phone: 504-276-5268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8680
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: