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NPI Code Detail

MEDICARE: MR. PAUL OKHAKIA

MEDICARE: MR. PAUL OKHAKIA
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
1101YM0800XMental Health Counselor6163LA
2171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1861864241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL OKHAKIA
Provider Business Mailing Address
First Line : 313 MARGON CT
Second Line :
City : SLIDELL
State : LA
Zip : 70458-1321
Country : US
Telephone Number : 504-676-4835
Fax Number :
Provider Business Practice Location Address
First Line : 3901 ULLOA ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-6942
Country : US
Telephone Number : 504-267-5712
Fax Number : 504-267-5714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2015
Last Update Date : 04/16/2026

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