Provider Demographics
NPI:1932571403
Name:TIGUES, ADRIAN (LLMSW)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:TIGUES
Suffix:
Gender:M
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 HIGHWAY 22 STE C11
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-2670
Mailing Address - Country:US
Mailing Address - Phone:985-206-5503
Mailing Address - Fax:985-206-5593
Practice Address - Street 1:132 W HOWZE BEACH RD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-8501
Practice Address - Country:US
Practice Address - Phone:985-445-1800
Practice Address - Fax:985-206-5593
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010986171041C0700X, 171M00000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator