Provider Demographics
NPI:1932729456
Name:SAINT-LOUIS, LYNOUSE ANGELA (LMSW)
Entity Type:Individual
Prefix:
First Name:LYNOUSE
Middle Name:ANGELA
Last Name:SAINT-LOUIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WOODSTOCK DR
Mailing Address - Street 2:
Mailing Address - City:WHEATLEY HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11798-1411
Mailing Address - Country:US
Mailing Address - Phone:269-357-1355
Mailing Address - Fax:
Practice Address - Street 1:20 WOODSTOCK DR
Practice Address - Street 2:
Practice Address - City:WHEATLEY HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11798-1411
Practice Address - Country:US
Practice Address - Phone:269-357-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-24
Last Update Date:2022-06-22
Deactivation Date:2021-03-09
Deactivation Code:
Reactivation Date:2022-06-22
Provider Licenses
StateLicense IDTaxonomies
NY109195104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker