Provider Demographics
NPI:1265818942
Name:DOWNHOUR, SHAWN (PLMFT, PLPC)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:DOWNHOUR
Suffix:
Gender:M
Credentials:PLMFT, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 ARMAND ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3939
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3101 ARMAND ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3939
Practice Address - Country:US
Practice Address - Phone:318-323-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5756101Y00000X
LA1233106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor