Candice Manuel Allo, LPC, NCC

Individual provider Active NPI Professional Counselor · Lafayette, LA

NPI 1669130449 · NPPES record last updated Nov 29, 2021

Key facts

NPI
1669130449
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4549 (LA)
Practice address
224 Steiner Rd
Lafayette, LA 70508-6004
Phone
(337) 831-5557
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4549LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Pediatric and Family Clinic LLC Past Accepting new patients
Acadiana After Hours, LLC Past Accepting new patients
Merakey Pennsylvania Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12117/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBAHCD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4549 LA Yes

Addresses

Primary practice location

224 Steiner Rd
Lafayette, LA 70508-6004

Mailing address

224 Steiner Rd
Lafayette, LA 70508-6004
Phone (337) 831-5557

Other providers in Lafayette, LA

All providers in Lafayette, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.