Ava Solomon Mazzanti, PH.D.
Individual provider Active NPI Professional Counselor · Epps, LA
NPI 1265902563 · NPPES record last updated Nov 29, 2018
Key facts
- NPI
- 1265902563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4284 (LA)
- Practice address
- 5200 1/2 Hwy 134
Epps, LA 71237 - Phone
- (318) 282-2352
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4284 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4284 | LA | Yes |
Addresses
Primary practice location
5200 1/2 Hwy 134
Epps, LA 71237
Mailing address
5200 1/2 Hwy 134
Epps, LA 71237
Phone (318) 282-2352
Other providers in Epps, LA
All providers in Epps, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.