Provider Demographics
NPI:1598058604
Name:HENNESSEY, ADRIENNE (NCC, LPC, LAC)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:HENNESSEY
Suffix:
Gender:F
Credentials:NCC, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 JULIA ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3730
Mailing Address - Country:US
Mailing Address - Phone:504-684-5368
Mailing Address - Fax:504-613-6586
Practice Address - Street 1:541 JULIA ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3730
Practice Address - Country:US
Practice Address - Phone:504-684-5368
Practice Address - Fax:504-613-6586
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1367101YA0400X
LA4964101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)