Provider Demographics
NPI:1912972159
Name:LAFAYETTE, WILLIAM H JR (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:H
Last Name:LAFAYETTE
Suffix:JR
Gender:M
Credentials:MA, LMFT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1 RIVERPOINTE PLZ APT 914
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3220
Mailing Address - Country:US
Mailing Address - Phone:502-741-3081
Mailing Address - Fax:855-869-7122
Practice Address - Street 1:1 RIVERPOINTE PLZ APT 914
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3220
Practice Address - Country:US
Practice Address - Phone:502-741-3081
Practice Address - Fax:855-869-7122
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0108101YM0800X
IN35000835A101YM0800X, 106H00000X
KY105694106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health