Cordelia Blazio
Individual provider Active NPI Counselor · Chalmette, LA
NPI 1619410784 · NPPES record last updated Nov 22, 2016
Key facts
- NPI
- 1619410784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 908 W Judge Perez Dr
Suite C
Chalmette, LA 70043-4773 - Phone
- (504) 324-5298
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destined for Options LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
908 W Judge Perez Dr
Suite C
Chalmette, LA 70043-4773
Mailing address
908 W Judge Perez Dr
Suite C
Chalmette, LA 70043-4773
Phone (504) 324-5298
Other providers in Chalmette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2016. 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.