Individual
MIRFAT ADDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3420 W PARC GREEN ST, HARVEY, LA 70058-7042
(504) 446-4378
Mailing address
3420 W PARC GREEN ST, HARVEY, LA 70058-7042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8362
LA
101YM0800X
Mental Health Counselor
Primary
8362
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8369
LOUISIANA BOARD OF LICENSED PROFESSIONAL COUNSELORS
LA
Enumeration date
03/04/2021
Last updated
07/21/2025
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