Provider Demographics
NPI:1437510468
Name:LACOUR, MICHAEL (NCC, PLPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:LACOUR
Suffix:
Gender:M
Credentials:NCC, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39126 DRIFTWOOD LAKE DR
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-6582
Mailing Address - Country:US
Mailing Address - Phone:225-223-0001
Mailing Address - Fax:
Practice Address - Street 1:39126 DRIFTWOOD LAKE DR
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-6582
Practice Address - Country:US
Practice Address - Phone:225-223-0001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5980101YM0800X
LA331528101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health