Provider Demographics
NPI:1467097329
Name:PERKINS, PAULITHA MELINDA
Entity Type:Individual
Prefix:MRS
First Name:PAULITHA
Middle Name:MELINDA
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 SAMOVAR DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-3356
Mailing Address - Country:US
Mailing Address - Phone:504-644-0686
Mailing Address - Fax:
Practice Address - Street 1:5640 SAMOVAR DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-3356
Practice Address - Country:US
Practice Address - Phone:504-644-0686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health