Doctor Name: | TAMALA EDWARDS |
NPI Number: | 1043649700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1463 |
Business Practice Address: | 2626 Charles Dr Chalmette, LA - 700433779 |
Business Phone Number: | 5042784006 |
Business Fax Number: | |
Mailing Address: | 3109 Allen St, NEW ORLEANS |
State: | LA |
Postal Code: | 701222909 |
Phone Number: | 9859699194 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1463 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |