Provider Demographics
NPI:1669537726
Name:GODEAUX, MICHELLE TRENTON (M,S,LPC-S,LMFT)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:TRENTON
Last Name:GODEAUX
Suffix:
Gender:F
Credentials:M,S,LPC-S,LMFT
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:TRENTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2331
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70664-2331
Mailing Address - Country:US
Mailing Address - Phone:337-915-0900
Mailing Address - Fax:337-915-0910
Practice Address - Street 1:108 STATE STATE
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605
Practice Address - Country:US
Practice Address - Phone:337-915-0900
Practice Address - Fax:337-915-0910
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1947101YM0800X, 101YP2500X
LA287106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist