Provider Demographics
NPI:1477986131
Name:WINLEY, ROSALINDA M X (CAC,RSW)
Entity Type:Individual
Prefix:
First Name:ROSALINDA
Middle Name:M
Last Name:WINLEY
Suffix:X
Gender:F
Credentials:CAC,RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 HARMONY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5726
Mailing Address - Country:US
Mailing Address - Phone:504-899-1110
Mailing Address - Fax:504-899-1405
Practice Address - Street 1:2304 HARMONY ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5726
Practice Address - Country:US
Practice Address - Phone:504-899-1110
Practice Address - Fax:504-899-1405
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12359101Y00000X
LA1296101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor