Provider Demographics
NPI:1407147002
Name:JOSEPH, ANTHEA L (LPC)
Entity Type:Individual
Prefix:
First Name:ANTHEA
Middle Name:L
Last Name:JOSEPH
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 1:800 WASHINGTON ST
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6955
Mailing Address - Country:US
Mailing Address - Phone:318-791-3236
Mailing Address - Fax:318-325-8749
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:SUITE B-2
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6955
Practice Address - Country:US
Practice Address - Phone:318-791-3236
Practice Address - Fax:318-325-8749
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4297101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health