Provider Demographics
NPI:1053689653
Name:LABAUVE, KELSIE RENEE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KELSIE
Middle Name:RENEE
Last Name:LABAUVE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 CANAL ST
Mailing Address - Street 2:STE 201
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6410
Mailing Address - Country:US
Mailing Address - Phone:504-525-2366
Mailing Address - Fax:504-525-7525
Practice Address - Street 1:2626 CANAL ST
Practice Address - Street 2:STE 201
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6410
Practice Address - Country:US
Practice Address - Phone:504-525-2366
Practice Address - Fax:504-525-7525
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11219104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker