Provider Demographics
NPI:1336797703
Name:BATISTE-LEAL, VANESSA (LRC, LPC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:BATISTE-LEAL
Suffix:
Gender:F
Credentials:LRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5947
Mailing Address - Country:US
Mailing Address - Phone:504-270-9618
Mailing Address - Fax:
Practice Address - Street 1:4440 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5947
Practice Address - Country:US
Practice Address - Phone:504-270-9618
Practice Address - Fax:888-959-6762
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7960101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA19252846313Medicaid