Provider Demographics
NPI:1023147337
Name:FLORANE, DENISE (BS, DC, CAD, DACACD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:
Last Name:FLORANE
Suffix:
Gender:F
Credentials:BS, DC, CAD, DACACD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 HWY 190
Mailing Address - Street 2:UNIT M223
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448
Mailing Address - Country:US
Mailing Address - Phone:504-421-7246
Mailing Address - Fax:
Practice Address - Street 1:1901 HIGHWAY 190
Practice Address - Street 2:UNIT M223
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-3470
Practice Address - Country:US
Practice Address - Phone:504-421-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL798101YA0400X
FL78101YP2500X
LA1065111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional