Provider Demographics
NPI:1164138590
Name:ANDRY, LEXUS (PLPC, NCC)
Entity Type:Individual
Prefix:
First Name:LEXUS
Middle Name:
Last Name:ANDRY
Suffix:
Gender:F
Credentials:PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 BELLE CHASE HWY, SUITE 8
Mailing Address - Street 2:#156
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056
Mailing Address - Country:US
Mailing Address - Phone:985-238-0136
Mailing Address - Fax:
Practice Address - Street 1:2112 BELLE CHASE HWY, SUITE 8
Practice Address - Street 2:#156
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056
Practice Address - Country:US
Practice Address - Phone:985-238-0136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional