Provider Demographics
NPI:1629420450
Name:BUSBY, ROCHELLE LYNN (MED, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:LYNN
Last Name:BUSBY
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 GRANADA DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3144
Mailing Address - Country:US
Mailing Address - Phone:504-710-2537
Mailing Address - Fax:
Practice Address - Street 1:801 BARROW ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4764
Practice Address - Country:US
Practice Address - Phone:985-746-5900
Practice Address - Fax:985-746-5901
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6682101YP2500X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator