| Doctor Name: | MYRA D NOUSTENS |
| NPI Number: | 1245208131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 2864 |
| Business Practice Address: | 843 Milling Ave Luling, LA - 700704442 |
| Business Phone Number: | 9857855800 |
| Business Fax Number: | 9857855811 |
| Mailing Address: | 3749 Whitehall Dr, DESTREHAN |
| State: | LA |
| Postal Code: | 700475055 |
| Phone Number: | 9853070253 |
| Fax Number: | 9857855804 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 01/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2864 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |