Provider Demographics
NPI:1972844348
Name:TRAIGLE, RHIANNON MICHELE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RHIANNON
Middle Name:MICHELE
Last Name:TRAIGLE
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 1:133 QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:LABADIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70372-2140
Mailing Address - Country:US
Mailing Address - Phone:985-713-1634
Mailing Address - Fax:
Practice Address - Street 1:133 QUAIL DR
Practice Address - Street 2:
Practice Address - City:LABADIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70372-2140
Practice Address - Country:US
Practice Address - Phone:985-713-1634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4107101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health