Provider Demographics
NPI:1629552096
Name:EUGENE, TRALANA DEJHAWN (LPC, LMFT, NCC)
Entity Type:Individual
Prefix:
First Name:TRALANA
Middle Name:DEJHAWN
Last Name:EUGENE
Suffix:
Gender:F
Credentials:LPC, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 SAWMILL RD APT 15203
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-5954
Mailing Address - Country:US
Mailing Address - Phone:504-920-8422
Mailing Address - Fax:
Practice Address - Street 1:3100 RIDGELAKE DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4964
Practice Address - Country:US
Practice Address - Phone:504-309-0259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5834101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional