1639577588 NPI number — JESSICA J. SIGUR,LPC,LLC

Table of content: (NPI 1639577588)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639577588 NPI number — JESSICA J. SIGUR,LPC,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JESSICA J. SIGUR,LPC,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639577588
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/09/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
122 SIERRA CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70001-5326
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-905-2414
Provider Business Mailing Address Fax Number:
504-309-7845

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1450 SIGUR AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70005-1222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-905-2414
Provider Business Practice Location Address Fax Number:
504-309-7845
Provider Enumeration Date:
12/09/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SIGUR
Authorized Official First Name:
JESSICA
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
504-905-2414

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  4443 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)