Provider Demographics
NPI:1225572423
Name:SENETTE, MONIQUE (BS)
Entity Type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:
Last Name:SENETTE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:SENETTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CASE MANAGEMENT
Mailing Address - Street 1:2932 MANHATTAN BLVD UNIT 174
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-5190
Mailing Address - Country:US
Mailing Address - Phone:504-390-4228
Mailing Address - Fax:
Practice Address - Street 1:3330 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6206
Practice Address - Country:US
Practice Address - Phone:504-827-2701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-07
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171M00000X, 171M00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator