Provider Demographics
NPI:1740648054
Name:JANELLE O'CONNOR, LCSW, LLC
Entity type:Organization
Organization Name:JANELLE O'CONNOR, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:SIMMONS
Authorized Official - Last Name:OCONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-444-1056
Mailing Address - Street 1:4829 PRYTANIA ST
Mailing Address - Street 2:STE 201
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-4046
Mailing Address - Country:US
Mailing Address - Phone:504-444-1056
Mailing Address - Fax:866-464-2960
Practice Address - Street 1:4829 PRYTANIA ST
Practice Address - Street 2:STE 201
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-4046
Practice Address - Country:US
Practice Address - Phone:504-444-1056
Practice Address - Fax:866-464-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4305251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1750574448OtherNPI
LA1750574448OtherNPI