Provider Demographics
NPI:1821868407
Name:AVENUE COUNSELING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:AVENUE COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPC
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:LIRETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-421-9446
Mailing Address - Street 1:824 ELMWOOD PARK BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70123-3360
Mailing Address - Country:US
Mailing Address - Phone:504-421-9446
Mailing Address - Fax:
Practice Address - Street 1:824 ELMWOOD PARK BLVD STE 125
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70123-3360
Practice Address - Country:US
Practice Address - Phone:504-421-9446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty