Provider Demographics
NPI:1366801144
Name:SCANNAVINO, PATRICIA S (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:S
Last Name:SCANNAVINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:SUAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 50159
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70150-0159
Mailing Address - Country:US
Mailing Address - Phone:504-503-0878
Mailing Address - Fax:504-503-0893
Practice Address - Street 1:701 LOYOLA AVE STE 108
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1912
Practice Address - Country:US
Practice Address - Phone:045-030-8785
Practice Address - Fax:504-503-0893
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7469101YP2500X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional