Provider Demographics
NPI:1154747863
Name:TALWAR, NISHA (LPC, NCC)
Entity type:Individual
Prefix:
First Name:NISHA
Middle Name:
Last Name:TALWAR
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 1:3444 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3813
Mailing Address - Country:US
Mailing Address - Phone:504-339-9798
Mailing Address - Fax:
Practice Address - Street 1:3444 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3813
Practice Address - Country:US
Practice Address - Phone:504-339-9798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5223101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor