Healthcare Provider Details

I. General information

NPI: 1477820132
Provider Name (Legal Business Name): WINFORD LOUIS AMOS LPC, LAC, CCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2011
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3224 GRAND POINT HWY
BREAUX BRIDGE LA
70517-6221
US

IV. Provider business mailing address

3226 GRAND POINT HWY
BREAUX BRIDGE LA
70517-6221
US

V. Phone/Fax

Practice location:
  • Phone: 337-257-8909
  • Fax:
Mailing address:
  • Phone: 337-456-6166
  • Fax: 337-456-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number86294
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1204
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5018
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: