Provider Demographics
NPI:1528389152
Name:RANKINS, DARLENE (GSW)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:
Last Name:RANKINS
Suffix:
Gender:F
Credentials:GSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 RIDGELAKE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-2080
Mailing Address - Country:US
Mailing Address - Phone:504-838-5002
Mailing Address - Fax:504-838-5025
Practice Address - Street 1:2121 RIDGELAKE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2080
Practice Address - Country:US
Practice Address - Phone:504-838-5002
Practice Address - Fax:504-838-5025
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5353104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker