Provider Demographics
NPI:1639678972
Name:LEBOEUF, JAMIE CROSBY (LPC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:CROSBY
Last Name:LEBOEUF
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 1:9990 GARDEN OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0468
Mailing Address - Country:US
Mailing Address - Phone:225-247-6688
Mailing Address - Fax:
Practice Address - Street 1:133 ASPEN SQ STE G
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5322
Practice Address - Country:US
Practice Address - Phone:225-247-6688
Practice Address - Fax:225-247-6688
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5772101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional