Provider Demographics
NPI:1538976576
Name:SYLVESTER, AYANA (MHS, LPC)
Entity type:Individual
Prefix:
First Name:AYANA
Middle Name:
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:MHS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 EDENBORN AVE
Mailing Address - Street 2:APT 216 BUILDING 2
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001
Mailing Address - Country:US
Mailing Address - Phone:504-236-2301
Mailing Address - Fax:
Practice Address - Street 1:3636 N CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-7203
Practice Address - Country:US
Practice Address - Phone:225-402-2436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health