MEDICARE: TANYA STUART LCSW

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1079	LA
2	104100000X	Social Worker	7676	LA

General Provider Information

NPI Number	:	1457534265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA STUART LCSW

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	:	504-250-5635
Fax Number	:	504-309-7845

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

Provider Enumeration Date	:	12/14/2007
Last Update Date	:	12/14/2007

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Directions to “ TANYA STUART LCSW” Practice Location

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