MEDICARE: KIERA WARREN NCC, LPC

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	101YP2500X	Professional Counselor	9669	LA
2	101YP2500X	Professional Counselor	98514	TX

General Provider Information

NPI Number	:	1740962513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIERA WARREN NCC, LPC

Provider Business Mailing Address
First Line	:	141 ALLEN TOUSSAINT BLVD # 1125
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2534
Country	:	US
Telephone Number	:	504-708-2346
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 ALLEN TOUSSAINT BLVD # 1125
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2534
Country	:	US
Telephone Number	:	504-708-2346
Fax Number	:

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

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	06/28/2025

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