person
Stacie R Crouch, MA,LPC,LMFT
Mental Health Counselor in Shreveport, Louisiana
NPI 1396822789

Stacie R Crouch is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Stacie R Crouch practices in Shreveport, LA and has the professional credentials of MA,LPC,LMFT. The NPI Number for Stacie R Crouch is 1396822789 and holds a License No. 101YM0800 (Louisiana).

The current practice location address for Stacie R Crouch is 1525 Stephens Ave, Shreveport, LA and can be reached out via phone at 318-221-6121 and via fax at 318-222-7879. You can also correspond with Stacie R Crouch through the mailing address at 9610 BALSA DR, SHREVEPORT, LA - 71115-3179 (mailing address contact number: 318-798-2198).

Location: 1525 Stephens Ave, Shreveport, LA, 71115-3179
person
Provider Profile Details
NPI Number
1396822789
Provider Name
Stacie R Crouch
Credential
MA,LPC,LMFT
Provider Entity Type
Individual
Gender
Female
Address
1525 Stephens Ave, Shreveport, LA, 71115-3179
Phone Number
318-221-6121
Fax Number
318-222-7879
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2630 01 LA LPC
912 01 LA LMFT
institution
Provider Business Practice Location Address Details
Address
1525 Stephens Ave
City
State
Zip
71101-4705
Phone Number
318-221-6121
Fax Number
318-222-7879
person
Provider Business Mailing Address Details
Address
1525 Stephens Ave
City
State
Zip
71101-4705
Phone Number
318-221-6121
Fax Number
318-222-7879
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
101YM0800 (Louisiana)
Definition
Definition to come...
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