Provider Demographics
NPI:1477882389
Name:OSBORNE, EARLINE W (LPC)
Entity Type:Individual
Prefix:MS
First Name:EARLINE
Middle Name:W
Last Name:OSBORNE
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 1:7240 CROWDER BOULEVARD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1922
Mailing Address - Country:US
Mailing Address - Phone:504-266-2326
Mailing Address - Fax:504-617-6570
Practice Address - Street 1:7240 CROWDER BOULEVARD
Practice Address - Street 2:SUITE 307
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3254
Practice Address - Country:US
Practice Address - Phone:504-266-2326
Practice Address - Fax:504-617-6570
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3994101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional