Provider Demographics
NPI:1023356151
Name:ARTHUR SCUDARI LPC-S LLC
Entity type:Organization
Organization Name:ARTHUR SCUDARI LPC-S LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JULES
Authorized Official - Last Name:SCUDARI
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC-S, NCC, MED
Authorized Official - Phone:504-756-9855
Mailing Address - Street 1:3005 HARVARD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6401
Mailing Address - Country:US
Mailing Address - Phone:504-756-9855
Mailing Address - Fax:504-832-5596
Practice Address - Street 1:3005 HARVARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6401
Practice Address - Country:US
Practice Address - Phone:504-756-9855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3086251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA600411495Medicaid