Provider Demographics
NPI:1215616362
Name:TRAN, TUAN PAUL DUY (MED, NCC, LPC-S)
Entity type:Individual
Prefix:MR
First Name:TUAN PAUL
Middle Name:DUY
Last Name:TRAN
Suffix:
Gender:M
Credentials:MED, NCC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 GUM BAYOU LN
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-6623
Mailing Address - Country:US
Mailing Address - Phone:504-874-4130
Mailing Address - Fax:
Practice Address - Street 1:2955 RIDGELAKE DR STE 208
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4962
Practice Address - Country:US
Practice Address - Phone:504-874-5883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
LA5417101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health