Live Oak Behavioral Psychology, LLC
Psychologist in Covington, LA. Organization (NPI-2).
NPI number1215214671
StatusActive
Last updated in NPPESMar 22, 2016
Details
- NPI
- 1215214671
- Entity type
- Organization (NPI-2)
- Legal business name
- Live Oak Behavioral Psychology, LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2011
- Last updated
- Mar 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1175 | LA | Yes |
| 103K00000X | Behavior Analyst | L-065 | LA | |
| 235Z00000X | Speech-Language Pathologist, | 7333 | LA | |
| 225X00000X | Occupational Therapist | OTT.200847 | LA | |
| 221700000X | Art Therapist | – | – |
Other names
- Live Oak Children'S Center (Doing Business As)
Practice location
56 Louis Prima DrSuite A
Covington, LA 70433-5903
Phone 504-450-7561
Mailing address
56 Louis Prima DrSuite A
Covington, LA 70433-5903
Phone 985-327-7256
Authorized official
Lacey Leblanc Seymour
Licensed Psychologist, Director
9853277256
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