Mandy McCoy Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MANDY MCCOY COUNSELING LLC

Doing business as

Inner Light Therapy Center

Practice address

850 Kaliste Saloom Rd Ste 116
Lafayette, LA 70508-4230

Phone

(337) 849-1516

NPI assigned

Feb 23, 2024

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mandy McCoy, LCSWNPI 1629647102

Title

Owner

Phone

(318) 613-7675

Specialties & licenses 1

Addresses

Other names 1

• Inner Light Therapy Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mandy Alecia McCoy, MSW, LCSW

  • Clinical Social Worker
  • Breaux Bridge, LA
  • NPI 1629647102
  NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1841056157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CRESCENT ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174109",
            "telephone_number": "318-613-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD STE 116",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-849-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDY MCCOY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-613-7675",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Light Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George A. Mampilly, MD
• Fran C Mancuso, P.T.
• Luke Mancuso, D.D.S.
• Mallory Mancuso
• Steven Jess Mandell, CRNA
• Richard H Maness, DDS MSD
• Courtney Lejeune Mankin, FNP
• Dana D. Manly, LPC
• Patty Mann, NP
• Morgan Anne Mannina-Williams, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.