Provider Demographics
NPI:1467728287
Name:SEAMSTER, ANTHONY EUGENE (LPC, NCC, LLC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:EUGENE
Last Name:SEAMSTER
Suffix:
Gender:M
Credentials:LPC, NCC, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 LEMOYNE DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2046
Mailing Address - Country:US
Mailing Address - Phone:504-994-1964
Mailing Address - Fax:504-304-4800
Practice Address - Street 1:3945 N I 10 SERVICE RD W STE 100A
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-6881
Practice Address - Country:US
Practice Address - Phone:504-994-1964
Practice Address - Fax:504-304-4800
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4442101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA601016261Medicaid