Doctor Name: | KATIE ENRIQUEZ |
NPI Number: | 1447643416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4662 |
Business Practice Address: | 1150 W Causeway Approach Mandeville, LA - 704713038 |
Business Phone Number: | 9857817353 |
Business Fax Number: | |
Mailing Address: | 4717 Craig Ave, METAIRIE |
State: | LA |
Postal Code: | 700037608 |
Phone Number: | 5043883636 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2015 |
NPI Last Update Date: | 03/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |