Provider Demographics
NPI:1497994701
Name:NORRIS-BENOIT, RAQUEL (MA,CIT)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:NORRIS-BENOIT
Suffix:
Gender:F
Credentials:MA,CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 TULANE AVE
Mailing Address - Street 2:804
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-7462
Mailing Address - Country:US
Mailing Address - Phone:504-826-2015
Mailing Address - Fax:504-826-2005
Practice Address - Street 1:2601 TULANE AVE
Practice Address - Street 2:804
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7462
Practice Address - Country:US
Practice Address - Phone:504-826-2015
Practice Address - Fax:504-826-2005
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2456101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)