Healthcare Provider Details

I. General information

NPI: 1851129381
Provider Name (Legal Business Name): LAUREN MCGILL PLPC, ATR-P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CARROLLTON AVE
NEW ORLEANS LA
70119-4700
US

IV. Provider business mailing address

3315 N RAMPART ST
NEW ORLEANS LA
70117-6132
US

V. Phone/Fax

Practice location:
  • Phone: 504-222-2460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number23-396
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPLC9865
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: