Healthcare Provider Details

I. General information

NPI: 1104536903
Provider Name (Legal Business Name): NATALIA SKEF-PROMOSLOVSKY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 JENA ST STE 202
NEW ORLEANS LA
70115-6322
US

IV. Provider business mailing address

2404 JENA ST
NEW ORLEANS LA
70115-5908
US

V. Phone/Fax

Practice location:
  • Phone: 504-982-1701
  • Fax:
Mailing address:
  • Phone: 504-982-1701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NATALIA DEBORAH SKEF-PROMOSLOVSKY
Title or Position: MEMBER MANAGER
Credential: LCSW
Phone: 504-982-1701