Provider Demographics
NPI:1306098140
Name:GUILLORY, FRANCINE (MA LPC)
Entity type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:
Last Name:GUILLORY
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 MARTHA HEBERT RD
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-7710
Mailing Address - Country:US
Mailing Address - Phone:337-228-7683
Mailing Address - Fax:
Practice Address - Street 1:2600 JOHNSTON ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3269
Practice Address - Country:US
Practice Address - Phone:337-266-5155
Practice Address - Fax:866-680-6420
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional