Provider Demographics
NPI:1952808040
Name:PICKETT, CHLOE ANTOINETTE (LP)
Entity Type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:ANTOINETTE
Last Name:PICKETT
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 OPELOUSAS AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114
Mailing Address - Country:US
Mailing Address - Phone:228-627-3435
Mailing Address - Fax:228-627-3435
Practice Address - Street 1:2237 N HULLEN ST STE 203
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-6913
Practice Address - Country:US
Practice Address - Phone:228-627-3435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA654232103TS0200X
LA1668103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty