MEDICARE: ROCHELLE IRSCH KEELING NCC, 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
1	101YP2500X	Professional Counselor	2938	LA
2	101Y00000X	Counselor	2938	LA

General Provider Information

NPI Number	:	1235638248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE IRSCH KEELING NCC, LPC

Provider Business Mailing Address
First Line	:	1801 MANHATTAN BLVD STE J280
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-7300
Country	:	US
Telephone Number	:	504-458-4740
Fax Number	:

Provider Business Practice Location Address
First Line	:	2439 MANHATTAN BLVD STE 309
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5360
Country	:	US
Telephone Number	:	504-457-4740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2018
Last Update Date	:	02/05/2018

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