MEDICARE: TANYA STUART, INC.

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
1	104100000X	Social Worker	7676	LA

General Provider Information

NPI Number	:	1174799423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TANYA STUART, INC.

Provider Business Mailing Address
First Line	:	PO BOX 6744
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70174-6744
Country	:	US
Telephone Number	:	504-309-7844
Fax Number	:	504-309-7845

Provider Business Practice Location Address
First Line	:	7117 FLORIDA BLVD
Second Line	:	SUITE 306
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4549
Country	:	US
Telephone Number	:	225-771-9980
Fax Number	:	504-309-7845

Authorized Official
Title or Position	:	OWNER
Name	:	TANYA STUART
Credential	:	LCSW
Telephone Number	:	225-771-9980

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	05/07/2008

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Directions to “TANYA STUART, INC. ” Practice Location

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