Provider Demographics
NPI:1548793581
Name:TREPAGNIER, AMBER ALIA (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:ALIA
Last Name:TREPAGNIER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 N TONTI ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2532
Mailing Address - Country:US
Mailing Address - Phone:504-444-1149
Mailing Address - Fax:
Practice Address - Street 1:1 GALLERIA BLVD STE 1900
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-7553
Practice Address - Country:US
Practice Address - Phone:504-444-1149
Practice Address - Fax:800-915-1248
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC6733101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health