Provider Demographics
NPI:1043347339
Name:RIVIERE, SCOTT ANDREW (LPC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ANDREW
Last Name:RIVIERE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 EAST ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5934
Mailing Address - Country:US
Mailing Address - Phone:337-497-1002
Mailing Address - Fax:337-497-1045
Practice Address - Street 1:109 EAST ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5934
Practice Address - Country:US
Practice Address - Phone:337-497-1002
Practice Address - Fax:337-497-1045
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1672-S101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional