MEDICARE: ALLISON LINDSEY DURANT 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	101Y00000X	Counselor	PLC7288	LA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	PLC7288	LA
3	101YP2500X	Professional Counselor	PLC7288	LA
4	101YM0800X	Mental Health Counselor	PLC7288	LA

General Provider Information

NPI Number	:	1750886800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON LINDSEY DURANT LPC

Provider Business Mailing Address
First Line	:	315 CUDDIHY DR
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-4143
Country	:	US
Telephone Number	:	504-522-4475
Fax Number	:	504-821-7296

Provider Business Practice Location Address
First Line	:	2521 JENA ST FL 2
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6322
Country	:	US
Telephone Number	:	504-475-8312
Fax Number	:

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

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	01/07/2022

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