Provider Demographics
NPI:1104132109
Name:SEVALIA & ASSOCIATES,LLC
Entity type:Organization
Organization Name:SEVALIA & ASSOCIATES,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:SEVALIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-245-0921
Mailing Address - Street 1:4919 PERELLI DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3529
Mailing Address - Country:US
Mailing Address - Phone:504-245-0921
Mailing Address - Fax:
Practice Address - Street 1:4919 PERELLI DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3529
Practice Address - Country:US
Practice Address - Phone:504-245-0921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5909252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency