Provider Demographics
NPI:1225527294
Name:COOPER, ALMIE REIF (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALMIE
Middle Name:REIF
Last Name:COOPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 TENNYSON LN
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-7003
Mailing Address - Country:US
Mailing Address - Phone:985-807-4020
Mailing Address - Fax:
Practice Address - Street 1:400 MARINERS PLAZA DR STE 427
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-6850
Practice Address - Country:US
Practice Address - Phone:985-951-2052
Practice Address - Fax:985-503-7345
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-06
Last Update Date:2018-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2456101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor