Provider Demographics
NPI:1013047976
Name:PELTS, KIRKHART, MAJOR AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:PELTS, KIRKHART, MAJOR AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNT REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:STERLING PETTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-581-3933
Mailing Address - Street 1:1539 JACKSON AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5858
Mailing Address - Country:US
Mailing Address - Phone:504-581-3933
Mailing Address - Fax:504-596-3933
Practice Address - Street 1:1539 JACKSON AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5858
Practice Address - Country:US
Practice Address - Phone:504-581-3933
Practice Address - Fax:504-596-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA444103T00000X
LA873103TC0700X
LA08889R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty