Healthcare Provider Details

I. General information

NPI: 1457715971
Provider Name (Legal Business Name): AMANDA JOHNSTON YOST LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA C.M. JOHNSTON LPC, LMFT

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 KEATING DR
BELLE CHASSE LA
70037-1629
US

IV. Provider business mailing address

115 KEATING DR
BELLE CHASSE LA
70037-1629
US

V. Phone/Fax

Practice location:
  • Phone: 504-393-5750
  • Fax: 504-393-5760
Mailing address:
  • Phone: 504-393-5750
  • Fax: 504-393-5760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8092
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT1394
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: