Provider Demographics
NPI:1114415395
Name:HEGARTY, KATHERINE TERESA (LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:TERESA
Last Name:HEGARTY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:TERESA
Other - Last Name:HEGARTY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:3725 S GALVEZ ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-3724
Mailing Address - Country:US
Mailing Address - Phone:504-608-2023
Mailing Address - Fax:
Practice Address - Street 1:3900 GENERAL TAYLOR ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-2915
Practice Address - Country:US
Practice Address - Phone:504-608-2023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6077101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional