Individual
TYRA VALTEAU-SORAPURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2521 JENA ST FL 2, NEW ORLEANS, LA 70115-6322
(504) 475-8312
Mailing address
2521 JENA ST FL 2, NEW ORLEANS, LA 70115-6322
(504) 475-8312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
3791
LA
1041C0700X
Clinical Social Worker
Primary
3791
LA
Other
Enumeration date
01/10/2022
Last updated
10/16/2023
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