Provider Demographics
NPI:1093793952
Name:PARADISE, LOUIS V (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:V
Last Name:PARADISE
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 SHAY DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-7708
Mailing Address - Country:US
Mailing Address - Phone:985-223-9011
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF ELCF--LAKEFRONT
Practice Address - Street 2:UNIVERSITY OF NEW ORLEANS
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70148-0001
Practice Address - Country:US
Practice Address - Phone:504-280-6026
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA405101YP2500X
DC916103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist