Provider Demographics
NPI:1770385007
Name:ABANA-EMMER, CHERYL LYN (MHS, LRC, CRC, CCM)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYN
Last Name:ABANA-EMMER
Suffix:
Gender:F
Credentials:MHS, LRC, CRC, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HOUMA BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4184
Mailing Address - Country:US
Mailing Address - Phone:504-988-2759
Mailing Address - Fax:504-988-6861
Practice Address - Street 1:3800 HOUMA BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4182
Practice Address - Country:US
Practice Address - Phone:504-988-2759
Practice Address - Fax:504-988-2759
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA794225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator