Provider Demographics
NPI:1194066290
Name:NOLA ART THERAPY AND COUNSELING, L.L.C.
Entity type:Organization
Organization Name:NOLA ART THERAPY AND COUNSELING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BEU
Authorized Official - Last Name:BOURGEOIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, ATR
Authorized Official - Phone:504-220-1483
Mailing Address - Street 1:702 SUNSET MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2086
Mailing Address - Country:US
Mailing Address - Phone:504-220-1483
Mailing Address - Fax:888-248-7189
Practice Address - Street 1:1000 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2852
Practice Address - Country:US
Practice Address - Phone:504-220-1483
Practice Address - Fax:888-248-7189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC 4891101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty