Provider Demographics
NPI:1245382399
Name:LEBLANC, LORI A (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:A
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3618 BRADEN PATRICK DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-9068
Mailing Address - Country:US
Mailing Address - Phone:225-753-5614
Mailing Address - Fax:225-756-1302
Practice Address - Street 1:5253 DIJON DR
Practice Address - Street 2:SUITE D
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4312
Practice Address - Country:US
Practice Address - Phone:225-768-8120
Practice Address - Fax:225-756-1302
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1550101YM0800X
LA596106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist