Provider Demographics
NPI:1962761643
Name:FLETCHER, RONALD EMILE (LCSW)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:EMILE
Last Name:FLETCHER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 HOLIDAY DR
Mailing Address - Street 2:SUITE 405
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-8202
Mailing Address - Country:US
Mailing Address - Phone:504-390-6145
Mailing Address - Fax:504-367-7201
Practice Address - Street 1:3501 HOLIDAY DR
Practice Address - Street 2:SUITE 405
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8202
Practice Address - Country:US
Practice Address - Phone:504-390-6145
Practice Address - Fax:504-367-7201
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA48961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical