Individual
PHILLIP ANTHONY LIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 ENTERPRISE DR STE D, HOUMA, LA 70360-2535
(985) 303-0182
Mailing address
1340 W TUNNEL BLVD STE 230, HOUMA, LA 70360-2811
(504) 314-1737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10966
LA
Other
Enumeration date
04/20/2018
Last updated
11/05/2025
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