Provider Demographics
NPI:1437375375
Name:DE LAHOUSSAYE, STEPHANIE M (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:M
Last Name:DE LAHOUSSAYE
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8703 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-2039
Mailing Address - Country:US
Mailing Address - Phone:225-788-3805
Mailing Address - Fax:225-665-3507
Practice Address - Street 1:8703 WILDWOOD DR
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-2039
Practice Address - Country:US
Practice Address - Phone:225-788-3805
Practice Address - Fax:225-665-3507
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional