Basic Information
| Provider Information | |||||||||
| NPI: | 1598111668 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LESTER | ||||||||
| FirstName: | MICHELLE | ||||||||
| MiddleName: | MARTINEZ | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MA,PLPC,NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 417 S JOHNSON ST | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9723914430 | ||||||||
| FaxNumber: | 5045814702 | ||||||||
| Practice Location | |||||||||
| Address1: | 2235 POYDRAS ST STE A | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701197561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048148001 | ||||||||
| FaxNumber: | 5048148002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2016 | ||||||||
| LastUpdateDate: | 04/13/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 6583 | LA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.