Provider Demographics
NPI:1861935488
Name:KNATT, ERIC JAMES (CSW)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JAMES
Last Name:KNATT
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:MR
Other - First Name:ERIC
Other - Middle Name:J
Other - Last Name:KNATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSW
Mailing Address - Street 1:3604 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6111
Mailing Address - Country:US
Mailing Address - Phone:504-822-4333
Mailing Address - Fax:504-822-4339
Practice Address - Street 1:1125 N TONTI ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-3598
Practice Address - Country:US
Practice Address - Phone:504-715-6142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-30
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8926101YP2500X
101Y00000X
LA5085101YP2500X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator