Provider Demographics
NPI:1447595558
Name:LAPEYROUSE, AMANDA BARRAS (LPC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:BARRAS
Last Name:LAPEYROUSE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LYNN
Other - Last Name:BARRAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CIT
Mailing Address - Street 1:125 CANE BREAK DR
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-3977
Mailing Address - Country:US
Mailing Address - Phone:225-776-1925
Mailing Address - Fax:
Practice Address - Street 1:144 VALHI LAGOON XING
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-3208
Practice Address - Country:US
Practice Address - Phone:985-790-0056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACIT 3212101YA0400X
LACI 5266101YM0800X
LA5266101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health