Organization
LISA SCHLATER RIVARDE
Active
Organization
LISA SCHLATER RIVARDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE RIVARDE LPC (CLINICAL THERAPIST)
(504) 577-7103
Entity
Organization
Contact information
Practice address
3628 MEADOWDALE DR, SLIDELL, LA 70458-4718
(504) 577-7103
(985) 641-9939
Mailing address
3628 MEADOWDALE DR, SLIDELL, LA 70458-4718
(504) 577-7103
(985) 641-9939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3892
LA
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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