Provider Demographics
NPI:1073614368
Name:GUIDRY, KAREN LYNNE (LPC LMFT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LYNNE
Last Name:GUIDRY
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LYNNE
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1340 W TUNNEL BLVD
Mailing Address - Street 2:#323
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-2862
Mailing Address - Country:US
Mailing Address - Phone:985-872-9244
Mailing Address - Fax:985-876-9137
Practice Address - Street 1:1340 W TUNNEL BLVD
Practice Address - Street 2:#323
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2862
Practice Address - Country:US
Practice Address - Phone:985-872-9244
Practice Address - Fax:985-876-9137
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1605101YP2500X
LA126106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAF0133OtherBLUE CROSS BLUE SHIELD