Costilow, Ann M
Costilow, Ann M is an individual health care provider with primary practice located at 2626 Charles Dr , Chalmette LA 70043-3779. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Costilow, Ann M can be contacted via phone (504) 278-4006.Contact Information
Primary practice address
2626 Charles Dr
Chalmette LA 70043-3779
Phone: (504) 278-4006
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 11051 | Louisiana |
Profile Details
NPI number | 1255605242 |
---|---|
LBN Legal business name | Costilow, Ann M |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2012 |
Last updated | Apr 9th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255605242 | NPPES |
Mississippi | MEDICAID | 00018214 |
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