Provider Demographics
NPI:1689280174
Name:ARCENEAUX, AMY GILES (MS, LPC, RPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:GILES
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:MS, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 HUGH WALLIS RD S BLDG E
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-2528
Mailing Address - Country:US
Mailing Address - Phone:337-534-8140
Mailing Address - Fax:337-534-8141
Practice Address - Street 1:850 KALISTE SALOOM RD BLDG STE 204
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4230
Practice Address - Country:US
Practice Address - Phone:337-534-8140
Practice Address - Fax:337-534-8141
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-20
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6885101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty