Provider Demographics
NPI:1649561739
Name:GUIDRY, LINDA D
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:D
Last Name:GUIDRY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDY
Other - Middle Name:D
Other - Last Name:GUIDRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:59324 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-4147
Mailing Address - Country:US
Mailing Address - Phone:985-265-5747
Mailing Address - Fax:
Practice Address - Street 1:119 VILLAGE ST
Practice Address - Street 2:SUITE A
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5301
Practice Address - Country:US
Practice Address - Phone:985-265-5747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4416101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health