Provider Demographics
NPI:1043733009
Name:OCD INSTITUTE OF GREATER NEW ORLEANS, LLC
Entity Type:Organization
Organization Name:OCD INSTITUTE OF GREATER NEW ORLEANS, LLC
Other - Org Name:SUZANNE CHABAUD, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHABAUD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-915-9590
Mailing Address - Street 1:12333 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3174
Mailing Address - Country:US
Mailing Address - Phone:504-915-9590
Mailing Address - Fax:504-309-4964
Practice Address - Street 1:315 METAIRIE RD STE 200
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4337
Practice Address - Country:US
Practice Address - Phone:504-915-9590
Practice Address - Fax:504-309-4964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-21
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA563103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty