Provider Demographics
NPI:1346897337
Name:PRACTICAL PSYCHOTHERAPY INC
Entity type:Organization
Organization Name:PRACTICAL PSYCHOTHERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOREY
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAP
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW
Authorized Official - Phone:504-291-3898
Mailing Address - Street 1:ONE GALLERIA BLVD STE 1900-6834
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-6834
Mailing Address - Country:US
Mailing Address - Phone:504-291-3898
Mailing Address - Fax:
Practice Address - Street 1:ONE GALLERIA BLVD STE 1900-6834
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-6834
Practice Address - Country:US
Practice Address - Phone:504-291-3898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134303274OtherINDIVIDUAL NPI
1700611902OtherGROUP NPI
NH3228OtherSTATE SOCIAL WORK LICENSE
LA7329OtherSTATE SOCIAL WORK LICENSE