DOMINIQUE IVORY NPI 1144982893

NPI Information

NPI: 1144982893
Provider Name: DOMINIQUE IVORY
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
11861 COURSEY BLVD
BATON ROUGE, LA
ZIP 70816
Phone: (225) 612-8656
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Dominique Ivory is a mental health counselor in Baton Rouge, LA. Dominique Ivory NPI is 1144982893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11861 COURSEY BLVD
BATON ROUGE, LA
ZIP 70816-404
Phone: (225) 612-8656
Fax: (225) 341-8774

The enumeration date for this NPI number is 10/11/2021 and was last updated on 10/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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