NPIMap

Organization Active NPI

Live Oak Behavioral Psychology, LLC

  • Psychologist
  • Covington, LA
National Provider Identifier
1215214671
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1175 Issued in LA
Legal business name
LIVE OAK BEHAVIORAL PSYCHOLOGY, LLC
Practice address
56 Louis Prima Dr
Suite a
Covington, LA 70433-5903
Phone
(504) 450-7561
NPI assigned
Nov 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lacey Leblanc Seymour, PH.D., BCBA-D
Title
Licensed Psychologist, Director
Phone
(985) 327-7256

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X L-065 LA
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1175 LA Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OTT.200847 LA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 7333 LA

Addresses

Primary practice location

56 Louis Prima Dr
Suite a
Covington, LA 70433-5903

Mailing address

56 Louis Prima Dr
Suite a
Covington, LA 70433-5903
Phone (985) 327-7256

Other names 1

  • Live Oak Children's Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1215214671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LOUIS PRIMA DR",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-327-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LOUIS PRIMA DR",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "504-450-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK BEHAVIORAL PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-12",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "LEBLANC",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, DIRECTOR",
        "authorized_official_telephone_number": "985-327-7256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-065",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1175",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200847",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Children's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.