Provider Demographics
NPI:1588191142
Name:LABORDE, YVENS KAMAU
Entity Type:Individual
Prefix:MR
First Name:YVENS
Middle Name:KAMAU
Last Name:LABORDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 BULLARD AVE STE 2C
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-1186
Mailing Address - Country:US
Mailing Address - Phone:504-373-9626
Mailing Address - Fax:866-583-9593
Practice Address - Street 1:7921 BULLARD AVE STE 2C
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-1186
Practice Address - Country:US
Practice Address - Phone:504-373-9626
Practice Address - Fax:866-583-9593
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
LA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health