MEDICARE: TONNIA MONIQUE HOUSE

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	171M00000X	Case Manager/Care Coordinator		LA

General Provider Information

NPI Number	:	1548118672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONNIA MONIQUE HOUSE

Provider Business Mailing Address
First Line	:	623 FRANKLIN AVE
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70053-2115
Country	:	US
Telephone Number	:	504-533-9885
Fax Number	:	504-336-3180

Provider Business Practice Location Address
First Line	:	520 WALL BLVD APT 42
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-7737
Country	:	US
Telephone Number	:	504-810-5155
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ TONNIA MONIQUE HOUSE ” Practice Location

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