Denise Amie Thibodeaux, M.ED., NCC, LPC, LAC
Individual provider Active NPI Professional Counselor · Sorrento, LA
NPI 1013274901 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1013274901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC 4943 (LA)
- Practice address
- 7384 John Leblanc Blvd
Sorrento, LA 70778-3231 - Phone
- (225) 300-4850
- NPI assigned
- Apr 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 4943 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Grove of la, LLC | Current | Accepting new patients | |
| The Grove of la, LLC | Professional | Current | Accepting new patients |
Locations
2645 Oneal Ln
Bldg C-C
Baton Rouge, LA 70816
Phone (225) 326-4637
5311 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 300-4850
7384 John Leblanc Blvd
Sorrento, LA 70778
Phone (225) 300-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC 4943 | LA | |
| Professional Counselor | 101YP2500X | LPC 4943 | LA | Yes |
Addresses
Primary practice location
7384 John Leblanc Blvd
Sorrento, LA 70778-3231
Mailing address
7384 John Leblanc Blvd
Sorrento, LA 70778-3231
Phone (225) 330-9328
Other practice location 1
5311 Dijon Dr
Baton Rouge, LA 70808-4314
Phone (225) 300-4850
Other providers in Sorrento, LA
- Malana Michelle Sutherland
- Taylor B Transportation
- Amanda Tessitore
- The Grove of la, LLC
- The Grove of la, LLC
- Sharon Renee Tohline
- Ynohtna Marketta Tureaud
- Kelci Louise Wagner
- Carly Wiggins
All providers in Sorrento, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.