Basic Information
| Provider Information | |||||||||
| NPI: | 1629379342 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARGAVIO | ||||||||
| FirstName: | REGINA | ||||||||
| MiddleName: | AUCOIN | ||||||||
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| Credential: | NCC, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 709 N HULLEN ST | ||||||||
| Address2: | |||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700015137 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5044009672 | ||||||||
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| Practice Location | |||||||||
| Address1: | 54002 HIGHWAY 1062 | ||||||||
| Address2: | |||||||||
| City: | LORANGER | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704463538 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2256835292 | ||||||||
| FaxNumber: | 2256831310 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2010 | ||||||||
| LastUpdateDate: | 03/22/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 4909 | LA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.