MEDICARE: RESPIRO THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1326709692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPIRO THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	4902 CANAL ST STE 302
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-5867
Country	:	US
Telephone Number	:	504-418-4333
Fax Number	:

Provider Business Practice Location Address
First Line	:	4902 CANAL ST STE 302
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-5867
Country	:	US
Telephone Number	:	504-418-4333
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	RYAN THOMAS DURAND
Credential	:	LCSW
Telephone Number	:	504-418-4333

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	01/07/2022

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