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Contact Information

LIVE OAK BEHAVIORAL PSYCHOLOGY, LLC
56 LOUIS PRIMA DR
SUITE A
COVINGTON, LA70433-5903
 Phone: 504-450-7561
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Art Therapist

221700000X
 

Behavior Analyst

103K00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for LIVE OAK BEHAVIORAL PSYCHOLOGY, LLC

NPI Number 1215214671
LBN Legal business name LIVE OAK BEHAVIORAL PSYCHOLOGY, LLC
Authorized official LACEY SEYMOUR - (LICENSED PSYCHOLOGIST, DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2011
Last updated 03/22/2016 - About 10 years ago
Identifiers
LA License # 1175
LA License # 7333
LA License # L-065
LA License # OTT.200847
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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