MEDICARE: MARLENA ARGUELLO

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	104100000X	Social Worker	14985	LA
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	14985	LA
3	2084P0802X	Addiction Psychiatry Physician	14985	LA

General Provider Information

NPI Number	:	1679117733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLENA ARGUELLO

Provider Business Mailing Address
First Line	:	1901 WESTBANK EXPY STE 550
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-4362
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 TULANE AVE BLDG 1
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7186
Country	:	US
Telephone Number	:	504-377-6628
Fax Number	:

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

Provider Enumeration Date	:	11/01/2019
Last Update Date	:	07/19/2024

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Directions to “ MARLENA ARGUELLO ” Practice Location

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