Provider Demographics
NPI:1124545850
Name:BENOIT, JULIE (MED, NCC, PLPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:BENOIT
Suffix:
Gender:F
Credentials:MED, NCC, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 LAKE AVE APT 112
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1835
Mailing Address - Country:US
Mailing Address - Phone:504-259-5810
Mailing Address - Fax:
Practice Address - Street 1:2611 JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-2959
Practice Address - Country:US
Practice Address - Phone:504-682-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC7103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health