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NPI Code Detail

MEDICARE: SHAWNTA GARDENER LPC

MEDICARE: SHAWNTA GARDENER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6710LA

General Provider Information

NPI Number : 1023480415
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNTA GARDENER LPC
Provider Business Mailing Address
First Line : 3832 LIRO LN
Second Line :
City : HARVEY
State : LA
Zip : 70058-1965
Country : US
Telephone Number : 504-913-8098
Fax Number :
Provider Business Practice Location Address
First Line : 1901 MANHATTAN BLVD BLDG D
Second Line :
City : HARVEY
State : LA
Zip : 70058-3583
Country : US
Telephone Number : 504-913-4062
Fax Number : 504-814-7982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2015
Last Update Date : 01/09/2025

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Directions to “ SHAWNTA GARDENER LPC” Practice Location

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