Provider Demographics
NPI:1407720998
Name:GRANIER, ANDREA RENEE (MA, PLPC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:RENEE
Last Name:GRANIER
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:GRANIER
Other - Last Name:RANDOLPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, PLPC
Mailing Address - Street 1:2229 HIGHWAY 3185
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-8401
Mailing Address - Country:US
Mailing Address - Phone:985-414-1487
Mailing Address - Fax:
Practice Address - Street 1:2229 HIGHWAY 3185
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-8401
Practice Address - Country:US
Practice Address - Phone:985-414-1487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10632101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional