Provider Demographics
NPI:1104177518
Name:KIELY, RANEY-MILLS (LPC, ATR)
Entity Type:Individual
Prefix:
First Name:RANEY-MILLS
Middle Name:
Last Name:KIELY
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2372 SAINT CLAUDE AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-8351
Mailing Address - Country:US
Mailing Address - Phone:504-345-9921
Mailing Address - Fax:
Practice Address - Street 1:2372 SAINT CLAUDE AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-8351
Practice Address - Country:US
Practice Address - Phone:504-345-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5380101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor