Provider Demographics
NPI:1962137620
Name:LEWIS GOINS, STACY MICHELLE (MS, LPC)
Entity type:Individual
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First Name:STACY
Middle Name:MICHELLE
Last Name:LEWIS GOINS
Suffix:
Gender:F
Credentials:MS, LPC
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1799 STUMPF BLVD
Mailing Address - Street 2:BUILDING 7 SUITE 7
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-3950
Mailing Address - Country:US
Mailing Address - Phone:504-233-2288
Mailing Address - Fax:
Practice Address - Street 1:1799 STUMPF BLVD
Practice Address - Street 2:BUILDING 7 SUITE 7
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-3950
Practice Address - Country:US
Practice Address - Phone:504-233-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health