Provider Demographics
NPI:1376622423
Name:CLAVEAU, LOUANNA (MS LPC)
Entity Type:Individual
Prefix:MRS
First Name:LOUANNA
Middle Name:
Last Name:CLAVEAU
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 27TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501-1937
Mailing Address - Country:US
Mailing Address - Phone:228-222-5858
Mailing Address - Fax:601-385-3698
Practice Address - Street 1:1310 27TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-1937
Practice Address - Country:US
Practice Address - Phone:228-222-5858
Practice Address - Fax:601-385-3698
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS101YP2500X
101YP2500X
MS1256101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional