MEDICARE: FRANCES AMELIA COUNCIL PLPC, MAT, MSC

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	101YM0800X	Mental Health Counselor	PLC7942	LA

General Provider Information

NPI Number	:	1609358910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES AMELIA COUNCIL PLPC, MAT, MSC

Provider Business Mailing Address
First Line	:	4440 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-5947
Country	:	US
Telephone Number	:	504-270-9618
Fax Number	:	888-959-6762

Provider Business Practice Location Address
First Line	:	4440 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-5947
Country	:	US
Telephone Number	:	504-270-9618
Fax Number	:	888-959-6762

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

Provider Enumeration Date	:	09/04/2018
Last Update Date	:	08/19/2019

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