Provider Demographics
NPI:1336656149
Name:CAUSEY, PORSHA D (BA)
Entity Type:Individual
Prefix:
First Name:PORSHA
Middle Name:D
Last Name:CAUSEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1799 STUMPF BLVD BLDG 7 STE 10
Mailing Address - Street 2:STE 10
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056
Mailing Address - Country:US
Mailing Address - Phone:504-266-2522
Mailing Address - Fax:
Practice Address - Street 1:1799 STUMPF BLVD BLDG 7 STE 10
Practice Address - Street 2:STE 10
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056
Practice Address - Country:US
Practice Address - Phone:504-266-2522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health