Provider Demographics
NPI:1891338356
Name:LARNEKA LAVALAIS LPC PLLC
Entity Type:Organization
Organization Name:LARNEKA LAVALAIS LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LARNEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVALAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-527-4347
Mailing Address - Street 1:4700 HIGHWAY 365
Mailing Address - Street 2:STE A #144
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-7719
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 PLAZA SQ STE 103
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-5537
Practice Address - Country:US
Practice Address - Phone:409-527-4347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health