Provider Demographics
NPI:1437760733
Name:POPE, KANDY KEY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KANDY
Middle Name:KEY
Last Name:POPE
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 1:7514 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-5670
Mailing Address - Country:US
Mailing Address - Phone:225-936-4977
Mailing Address - Fax:
Practice Address - Street 1:7514 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5670
Practice Address - Country:US
Practice Address - Phone:225-936-4977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5175101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health