Organization
INTERDEPENDENCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HYACINTH MCKEE LCSW BACS (THERAPIST)
(504) 994-7161
Entity
Organization
Contact information
Practice address
10001 LAKE FOREST BLVD, SUITE 308, NEW ORLEANS, LA 70127-6212
(504) 994-7161
Mailing address
PO BOX 8734, NEW ORLEANS, LA 70182-8734
(504) 994-7161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4719
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871826552
NPI INDIVIDUAL
LA
01
—
4719
LA STATE BOARD OF SOCIAL WORK EXAMINERS
LA
01
—
600767715
MAGELLAN HEALTH SERVICES
LA
Enumeration date
10/02/2012
Last updated
10/02/2012
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