Doctor Name: | ANGELA LOUISE CENTANNI |
NPI Number: | 1053411678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCSW 7553 |
Business Practice Address: | 1706 Cannes Dr La Place, LA - 700682407 |
Business Phone Number: | 9856524330 |
Business Fax Number: | 9856524335 |
Mailing Address: | 1706 Cannes Dr, LA PLACE |
State: | LA |
Postal Code: | 700682407 |
Phone Number: | 9856524330 |
Fax Number: | 9856524335 |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW 7553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |