Organization
ANGELA LANDRY, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LANDRY LCSW (OWNER)
(225) 718-9525
Entity
Organization
Contact information
Practice address
5687 COMMERCE STREET, SUITE 7, ST. FRANCISVILLE, LA 70775
(225) 245-5040
Mailing address
PO BOX 2162, SAINT FRANCISVILLE, LA 70775-2162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
11067
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2452762
—
LA
Enumeration date
07/12/2017
Last updated
10/28/2020
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