Organization
TRANSFORMING LIVES SOCIAL EMOTIONAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHONTELL MAGEE DOLLIOLE PHD (LICENSED PROFESSIONAL COUNSELOR)
(504) 264-1518
Entity
Organization
Contact information
Practice address
7541 DOGWOOD DR, NEW ORLEANS, LA 70126-2007
(504) 264-1518
Mailing address
7541 DOGWOOD DR, NEW ORLEANS, LA 70126-2007
(504) 264-1518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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