Healthcare Provider Details

I. General information

NPI: 1053234633
Provider Name (Legal Business Name): DR. ANGELA TONEY TONEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 FOREST RIDGE LOOP
PEARL RIVER LA
70452-3731
US

IV. Provider business mailing address

1112 FOREST RIDGE LOOP SAME
PEARL RIVER LA
70452-3731
US

V. Phone/Fax

Practice location:
  • Phone: 504-583-5822
  • Fax:
Mailing address:
  • Phone: 504-583-5822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberAT189656
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: