Provider Demographics
NPI:1235503087
Name:MOODY-VARNADO, NEHLITA ROSELYNN (LPC)
Entity Type:Individual
Prefix:
First Name:NEHLITA
Middle Name:ROSELYNN
Last Name:MOODY-VARNADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 SAINT CHARLES AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3542
Mailing Address - Country:US
Mailing Address - Phone:504-699-0100
Mailing Address - Fax:
Practice Address - Street 1:7100 SAINT CHARLES AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3542
Practice Address - Country:US
Practice Address - Phone:504-608-8261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7759101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional