Provider Demographics
NPI:1457605883
Name:LURIA, RACHEL BETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:BETH
Last Name:LURIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 RIVER OAKS ROAD WEST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123
Mailing Address - Country:US
Mailing Address - Phone:504-400-9906
Mailing Address - Fax:
Practice Address - Street 1:1529 RIVER OAKS RD WEST
Practice Address - Street 2:SUITE108
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-2199
Practice Address - Country:US
Practice Address - Phone:504-400-9906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA104031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical