Basic Information
Provider Information
NPI: 1164861514
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAJAUNIE
FirstName: SEAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 116 S JEFFERSON DAVIS PKWY APT A
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701196228
CountryCode: US
TelephoneNumber: 5048757847
FaxNumber:  
Practice Location
Address1: 400 POYDRAS ST STE 1950
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701303341
CountryCode: US
TelephoneNumber: 5043223837
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2013
LastUpdateDate: 11/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  N Behavioral Health & Social Service ProvidersCounselor 
103TC1900X1561LAN Behavioral Health & Social Service ProvidersPsychologistCounseling
103T00000X1561LAY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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