Provider Demographics
NPI:1790044923
Name:RICARD, TOLONDA DYMETRIAS (LPC)
Entity Type:Individual
Prefix:MS
First Name:TOLONDA
Middle Name:DYMETRIAS
Last Name:RICARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:TOLONDA
Other - Middle Name:RICARD
Other - Last Name:AGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4821 LENNOX BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8356
Mailing Address - Country:US
Mailing Address - Phone:504-723-3438
Mailing Address - Fax:
Practice Address - Street 1:1008 BEHRMAN HWY
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-4566
Practice Address - Country:US
Practice Address - Phone:504-723-3438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3910101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional