Winford Louis Amos, LPC, LAC, CCS
Individual provider Active NPI Professional Counselor · Lafayette, LA
NPI 1477820132 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1477820132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 86294 (TX)
- Practice address
- 2506 Johnston St
Lafayette, LA 70503-3238 - Phone
- (337) 456-6166
- Fax
- (337) 456-4830
- NPI assigned
- Nov 23, 2011
- Sex
- Male
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1204 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingdom Source, LLC | Counselor | Current |
Accepting new patients |
| Equipped for the Journey, Inc. | Counselor | Current |
Accepting new patients |
Locations
2506 Johnston St
Lafayette, LA 70503
Phone (337) 456-6166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1204 | LA | |
| Professional Counselor | 101YP2500X | 5018 | LA | |
| Professional Counselor | 101YP2500X | 86294 | TX | Yes |
Addresses
Primary practice location
2506 Johnston St
Lafayette, LA 70503-3238
Mailing address
3226 Grand Point Hwy
Breaux Bridge, LA 70517-6221
Phone (337) 456-6166
Other practice location 1
4222 Trinity Mills Rd Ste 250
Dallas, TX 75287-7655
Phone (972) 534-4288
Other providers in Lafayette, LA
- Amian Health Services
- Amian Health Services, LLC
- Amit Navinchandra Amin
- Alexis Carroll Ammons
- Alexis Amos
- Amy E Cavanaugh PHD LLC
- Ahmad Issa Anbar
- Jean Charles-Edouard Ancelet
- Anchor of Hope & Strength, LLC
- Anchored Hope Counseling and Consulting, LLC
All providers in Lafayette, 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 Nov 8, 2023. 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.