Provider Demographics
NPI:1255355459
Name:MCGUIRE, DOROTHY CHARLEMAGNE (ATR, LCPC, LPC-S)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:CHARLEMAGNE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:ATR, LCPC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5401
Mailing Address - Country:US
Mailing Address - Phone:773-419-9030
Mailing Address - Fax:
Practice Address - Street 1:1815 ADAMS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5401
Practice Address - Country:US
Practice Address - Phone:504-249-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-003969101YP2500X
LA5225101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional