Provider Demographics
NPI:1710332853
Name:LOUIS, ANNE (LPCT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:LPCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3567 W TURTLE RAPIDS LN
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:WI
Mailing Address - Zip Code:54547-9800
Mailing Address - Country:US
Mailing Address - Phone:920-450-6198
Mailing Address - Fax:
Practice Address - Street 1:3567 W TURTLE RAPIDS LN
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:WI
Practice Address - Zip Code:54547-9800
Practice Address - Country:US
Practice Address - Phone:920-450-6198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-26
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6685-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional