MEDICARE: MS. KATRINA ROSE

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1548117443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATRINA ROSE

Provider Business Mailing Address
First Line	:	425 W AIRLINE HWY STE D
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70068-3825
Country	:	US
Telephone Number	:	985-233-4035
Fax Number	:

Provider Business Practice Location Address
First Line	:	1838 W HOMESTEAD DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-3317
Country	:	US
Telephone Number	:	504-330-3464
Fax Number	:

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

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ MS. KATRINA ROSE ” Practice Location

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