Provider Demographics
NPI:1013373943
Name:SCHWARTZENBURG, ALYSSA (PLPC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:SCHWARTZENBURG
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BRIDGEWAY DR APT 125
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4019
Mailing Address - Country:US
Mailing Address - Phone:337-499-8005
Mailing Address - Fax:
Practice Address - Street 1:1105 GENERAL MOUTON AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-8529
Practice Address - Country:US
Practice Address - Phone:337-552-2046
Practice Address - Fax:337-205-9893
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-07
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional