person
Mrs. Lacy Fontenot Guedon, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Winnsboro, Louisiana
NPI 1922484757

Lacy Fontenot Guedon is a Psychiatric/Mental Health Nurse Practitioner based in Winnsboro, LA and is specialized in Psychiatric/Mental Health. Lacy Fontenot Guedon practices in Winnsboro, LA and has the professional credentials of PMHNP. The NPI Number for Lacy Fontenot Guedon is 1922484757 and holds a License No. 08776 (Louisiana).

The current practice location address for Lacy Fontenot Guedon is 2104 Loop Rd Ste C, Winnsboro, LA and can be reached out via phone at 318-435-6377 and via fax at 318-435-6378. You can also correspond with Lacy Fontenot Guedon through the mailing address at PO BOX 1300, WINNSBORO, LA - 71295-3344 (mailing address contact number: 318-435-6377).

Location: 2104 Loop Rd Ste C, Winnsboro, LA, 71295-3344
person
Provider Profile Details
NPI Number
1922484757
Provider Name
Lacy Fontenot Guedon
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
2104 Loop Rd Ste C, Winnsboro, LA, 71295-3344
Phone Number
318-435-6377
Fax Number
318-435-6378
Provider Enumeration Date
08/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5YJC5 01 LA MEDICARE
13848326 01 CAQH
P02474675 01 LA RR MEDICARE
2421751 05 LA
institution
Provider Business Practice Location Address Details
Address
2104 Loop Rd Ste C
City
State
Zip
71295-3341
Phone Number
318-435-6377
Fax Number
318-435-6378
person
Provider Business Mailing Address Details
Address
2104 Loop Rd Ste C
City
State
Zip
71295-3341
Phone Number
318-435-6377
Fax Number
318-435-6378
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP08776 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Family
Taxonomy
License No.
08776 (Louisiana)
Definition
Definition to come...
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