Provider Demographics
NPI:1164890455
Name:DE LA PAZ COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:DE LA PAZ COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DE LA PAZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPC-S, LMFT,NCC
Authorized Official - Phone:504-715-9104
Mailing Address - Street 1:203 SIERRA CT
Mailing Address - Street 2:DE LA PAZ COUNSELING & COUNSULTING
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-5327
Mailing Address - Country:US
Mailing Address - Phone:504-715-9104
Mailing Address - Fax:
Practice Address - Street 1:203 SIERRA CT
Practice Address - Street 2:DE LA PAZ COUNSELING & COUNSULTING
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5327
Practice Address - Country:US
Practice Address - Phone:504-715-9104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2919101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty