Provider Demographics
NPI:1952848459
Name:NORTH, BILLY (MED)
Entity Type:Individual
Prefix:MR
First Name:BILLY
Middle Name:
Last Name:NORTH
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-4715
Mailing Address - Country:US
Mailing Address - Phone:504-405-5280
Mailing Address - Fax:
Practice Address - Street 1:2400 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4715
Practice Address - Country:US
Practice Address - Phone:504-405-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health