Provider Demographics
NPI:1942558119
Name:PIGOTT, HEIDI MANCUSO (MHS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:MANCUSO
Last Name:PIGOTT
Suffix:
Gender:F
Credentials:MHS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 MARINERS COVE BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-5770
Mailing Address - Country:US
Mailing Address - Phone:985-707-7881
Mailing Address - Fax:
Practice Address - Street 1:119 VILLAGE ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5301
Practice Address - Country:US
Practice Address - Phone:985-707-7881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional