Maxxamia

Specialty details in registry · Slidell, LA

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At a glance

728 Ridgefield Dr, Slidell, LA 70458-7326

NPPES record updated Jun 3, 2026. Public records can lag behind changes at a practice.

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Practice location

728 Ridgefield Dr
Slidell, LA 70458-7326
Professional details: NPI, taxonomy & registry record
NPI1588596332
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
104100000X
Enumeration date
Jun 3, 2026
Record updated
Jun 3, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101Y00000X

Mental Health Counselor

101YM0800X

Specialty details in registry

104100000X · Primary

Clinical Social Worker

1041C0700X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

728 Ridgefield Dr
Slidell, LA 70458-7326
Phone
(504) 416-2551
Mailing address
728 RIDGEFIELD DR

SLIDELL, LA 704587326
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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