Provider Demographics
NPI:1760832802
Name:DOUCET, LENIE T (LPC)
Entity Type:Individual
Prefix:
First Name:LENIE
Middle Name:T
Last Name:DOUCET
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:PO BOX 864
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70602-0864
Mailing Address - Country:US
Mailing Address - Phone:337-433-1062
Mailing Address - Fax:337-439-1094
Practice Address - Street 1:2400 MERGANSER ST
Practice Address - Street 2:BUILDING B
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70615-6898
Practice Address - Country:US
Practice Address - Phone:337-499-8677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3849101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional