Provider Demographics
NPI:1144471731
Name:OCONNOR, DESMOND PATRICK (LPC,LMFT)
Entity type:Individual
Prefix:MR
First Name:DESMOND
Middle Name:PATRICK
Last Name:OCONNOR
Suffix:
Gender:M
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 1:2128 GLOUSTER ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-4432
Mailing Address - Country:US
Mailing Address - Phone:504-432-5306
Mailing Address - Fax:
Practice Address - Street 1:2128 GLOUSTER ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-4432
Practice Address - Country:US
Practice Address - Phone:150-443-2530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA147106H00000X
LA2419101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA21284679Medicaid