Provider Demographics
NPI:1982451464
Name:HEBERT, BETH ANN (LPC)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:HEBERT
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:BRAVENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:132 FRIED STREET
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053
Mailing Address - Country:US
Mailing Address - Phone:404-326-0325
Mailing Address - Fax:
Practice Address - Street 1:2800 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:404-326-0325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health