Provider Demographics
NPI:1225708290
Name:MCALVANAH, ANITA CECELIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:CECELIA
Last Name:MCALVANAH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:114 AVOYELLES DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7519
Mailing Address - Country:US
Mailing Address - Phone:337-234-5614
Mailing Address - Fax:337-291-2839
Practice Address - Street 1:2520 N UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-5306
Practice Address - Country:US
Practice Address - Phone:337-704-0799
Practice Address - Fax:337-991-0718
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA925101YP2500X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty