Provider Demographics
NPI:1407995954
Name:VILAS, NORAKATE 'KATHY' R (LCSW)
Entity Type:Individual
Prefix:
First Name:NORAKATE 'KATHY'
Middle Name:R
Last Name:VILAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:R
Other - Last Name:VILAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:6002 PERKINS ROAD
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4283
Mailing Address - Country:US
Mailing Address - Phone:225-831-5151
Mailing Address - Fax:225-308-8438
Practice Address - Street 1:6002 PERKINS RD STE C2
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4284
Practice Address - Country:US
Practice Address - Phone:225-831-5151
Practice Address - Fax:225-308-8438
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA27831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CX31Medicare ID - Type UnspecifiedGRIEF COUNSEL