Provider Demographics
NPI:1073716577
Name:PRINCE, VALARIE (LAC, , PLPC)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:
Last Name:PRINCE
Suffix:
Gender:
Credentials:LAC, , PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 W ADMIRAL DOYLE DR
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-6408
Mailing Address - Country:US
Mailing Address - Phone:337-373-2135
Mailing Address - Fax:337-373-0125
Practice Address - Street 1:611 W ADMIRAL DOYLE DR
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-6408
Practice Address - Country:US
Practice Address - Phone:337-373-2135
Practice Address - Fax:337-373-0129
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1015101YA0400X
LAPLC10246101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)