Provider Demographics
NPI:1164665394
Name:LABRENTZ, HELMUT (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELMUT
Middle Name:
Last Name:LABRENTZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:IOTA
Mailing Address - State:LA
Mailing Address - Zip Code:70543-0218
Mailing Address - Country:US
Mailing Address - Phone:337-824-6250
Mailing Address - Fax:337-821-9306
Practice Address - Street 1:224 GREMILLION CIRCLE
Practice Address - Street 2:
Practice Address - City:IOTA
Practice Address - State:LA
Practice Address - Zip Code:70543-3250
Practice Address - Country:US
Practice Address - Phone:337-824-6250
Practice Address - Fax:337-824-9306
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA889103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist