Provider Demographics
NPI:1669894960
Name:PIERRE, TANYA LYNETTE (LCSW)
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:LYNETTE
Last Name:PIERRE
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 1:2051 SPANISH OAKS DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3058
Mailing Address - Country:US
Mailing Address - Phone:504-251-8793
Mailing Address - Fax:
Practice Address - Street 1:2051 SPANISH OAKS DR
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3058
Practice Address - Country:US
Practice Address - Phone:504-251-8793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA34181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical