Provider Demographics
NPI:1013101377
Name:GIESELER, LORI KING (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:KING
Last Name:GIESELER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4845 FAIRFIELD STREET
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2651
Mailing Address - Country:US
Mailing Address - Phone:504-734-0501
Mailing Address - Fax:985-735-7105
Practice Address - Street 1:4728 JEFFERSON HIGHWAY
Practice Address - Street 2:LIGHTHOUSE COUNSELING CENTER
Practice Address - City:JEFFERSON
Practice Address - State:LA
Practice Address - Zip Code:70127
Practice Address - Country:US
Practice Address - Phone:504-734-0501
Practice Address - Fax:985-735-9105
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA25811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical