Provider Demographics
NPI:1508621566
Name:ATLAS, CYPRESS (PLPC, NCC)
Entity Type:Individual
Prefix:
First Name:CYPRESS
Middle Name:
Last Name:ATLAS
Suffix:
Gender:F
Credentials:PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 SAINT FERDINAND ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-7250
Mailing Address - Country:US
Mailing Address - Phone:917-586-1397
Mailing Address - Fax:
Practice Address - Street 1:1228 SAINT FERDINAND ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-7250
Practice Address - Country:US
Practice Address - Phone:917-586-1397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health