Provider Demographics
NPI:1104909811
Name:MARSHALL-FERGUSON, TRICIA (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:MARSHALL-FERGUSON
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WHITNEY AVE
Mailing Address - Street 2:604
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056
Mailing Address - Country:US
Mailing Address - Phone:504-362-0504
Mailing Address - Fax:504-463-4086
Practice Address - Street 1:401 WHITNEY AVE
Practice Address - Street 2:SUITE 128B
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2558
Practice Address - Country:US
Practice Address - Phone:504-994-9193
Practice Address - Fax:504-309-7845
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203783236171M00000X
LA3134101Y00000X
LA1029106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist