Provider Demographics
NPI:1548777394
Name:COOPER, RHEA BREANN (MS, PLPC)
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:BREANN
Last Name:COOPER
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:MISS
Other - First Name:RHEA
Other - Middle Name:BREANN
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, PLPC
Mailing Address - Street 1:606 BURLINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-7414
Mailing Address - Country:US
Mailing Address - Phone:337-356-5972
Mailing Address - Fax:
Practice Address - Street 1:1011 HARDING ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503
Practice Address - Country:US
Practice Address - Phone:337-356-5972
Practice Address - Fax:337-235-6831
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health