Provider Demographics
NPI:1184753022
Name:RABB, LINDA DAVIS (GSW, LAC)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:DAVIS
Last Name:RABB
Suffix:
Gender:F
Credentials:GSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7641 HANSBROUGH ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1216
Mailing Address - Country:US
Mailing Address - Phone:504-584-1167
Mailing Address - Fax:504-301-1666
Practice Address - Street 1:611 N RAMPART ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3505
Practice Address - Country:US
Practice Address - Phone:504-584-1167
Practice Address - Fax:504-301-1666
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA768101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)