Provider Demographics
NPI:1245060219
Name:CANFIELD, BRIAN STEPHEN (LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:STEPHEN
Last Name:CANFIELD
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-4828
Mailing Address - Country:US
Mailing Address - Phone:985-974-8405
Mailing Address - Fax:
Practice Address - Street 1:411 S PRIEUR ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2239
Practice Address - Country:US
Practice Address - Phone:504-556-3451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA120101YM0800X
AR86-12P103T00000X
LA19106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist