Provider Demographics
NPI:1033482674
Name:SYLVESTER, JANICE ANN (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:ANN
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 COUNTRY RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-1650
Mailing Address - Country:US
Mailing Address - Phone:337-230-5638
Mailing Address - Fax:337-942-1668
Practice Address - Street 1:609 COUNTRY RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-1650
Practice Address - Country:US
Practice Address - Phone:337-230-5638
Practice Address - Fax:337-942-1668
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC2784101YM0800X
LALMFT725106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist