Provider Demographics
NPI:1093353625
Name:POPLUS, KECIA
Entity Type:Individual
Prefix:MISS
First Name:KECIA
Middle Name:
Last Name:POPLUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 CROWDER BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2444
Mailing Address - Country:US
Mailing Address - Phone:504-241-6003
Mailing Address - Fax:
Practice Address - Street 1:5630 CROWDER BLVD STE 208
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-2444
Practice Address - Country:US
Practice Address - Phone:504-241-6003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator