Provider Demographics
NPI:1891595260
Name:GUERCIO, PAIGE (PLPC)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:GUERCIO
Suffix:
Gender:
Credentials:PLPC
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17534 OLD JEFFERSON HWY STE B2
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3978
Mailing Address - Country:US
Mailing Address - Phone:225-244-9110
Mailing Address - Fax:504-335-0775
Practice Address - Street 1:17534 OLD JEFFERSON HWY STE B2
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3978
Practice Address - Country:US
Practice Address - Phone:225-244-9110
Practice Address - Fax:504-335-0775
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty