Provider Demographics
NPI:1073358693
Name:PRADO LORENZO, LAURA (MS, PLPC, NCC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:PRADO LORENZO
Suffix:
Gender:X
Credentials:MS, PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 WHITNEY PL APT 606
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6272
Mailing Address - Country:US
Mailing Address - Phone:786-523-6359
Mailing Address - Fax:
Practice Address - Street 1:1126 COMMERCIAL DR STE 5
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-5972
Practice Address - Country:US
Practice Address - Phone:225-572-5922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health