Provider Demographics
NPI:1124781992
Name:MAKARYAN, VICTORIA (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:
Last Name:MAKARYAN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 N CAUSEWAY BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4842
Mailing Address - Country:US
Mailing Address - Phone:504-507-0556
Mailing Address - Fax:
Practice Address - Street 1:2901 N CAUSEWAY BLVD STE 302
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4842
Practice Address - Country:US
Practice Address - Phone:504-507-0556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90273101YP2500X
LA7429101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional