Provider Demographics
NPI:1730670464
Name:WOOLEY, ARIELLE LEBEAUX
Entity type:Individual
Prefix:MRS
First Name:ARIELLE
Middle Name:LEBEAUX
Last Name:WOOLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ARIELLE
Other - Middle Name:DENISE
Other - Last Name:MAZANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3443 ESPLANADE AVE APT 652
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2972
Mailing Address - Country:US
Mailing Address - Phone:504-434-8336
Mailing Address - Fax:504-619-9702
Practice Address - Street 1:10001 LAKE FOREST BLVD STE 514
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-6200
Practice Address - Country:US
Practice Address - Phone:504-619-9898
Practice Address - Fax:504-619-9702
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health