Individual
EBONYE BEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 S SOLOMON ST, NEW ORLEANS, LA 70119-5928
(504) 483-3558
Mailing address
127 S SOLOMON ST, NEW ORLEANS, LA 70119-5928
(504) 539-3009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000000000000000
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/07/2022
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