Provider Demographics
NPI:1063843175
Name:GUILLAUME, CASSANDRA (LPC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:GUILLAUME
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10040 I 10 SERVICE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2701
Mailing Address - Country:US
Mailing Address - Phone:504-821-5220
Mailing Address - Fax:504-821-6330
Practice Address - Street 1:10040 I 10 SERVICE RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-2701
Practice Address - Country:US
Practice Address - Phone:504-821-5220
Practice Address - Fax:504-821-6330
Is Sole Proprietor?:No
Enumeration Date:2013-11-29
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5931101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3076013Medicaid