Provider Demographics
NPI:1306113279
Name:REDPATH, NAVJOT A (MED, LPC)
Entity type:Individual
Prefix:
First Name:NAVJOT
Middle Name:A
Last Name:REDPATH
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 TUCKER AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-376-7035
Mailing Address - Fax:504-822-0831
Practice Address - Street 1:1500 RIVER OAKS ROAD W., SUITE 100-A
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:LA
Practice Address - Zip Code:70123
Practice Address - Country:US
Practice Address - Phone:504-846-6901
Practice Address - Fax:504-838-5706
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2431101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional