Healthcare Provider Details

I. General information

NPI: 1033149216
Provider Name (Legal Business Name): ROSLYN M FOUIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 S MALL ST
LAFAYETTE LA
70503-2252
US

IV. Provider business mailing address

306 S MALL ST
LAFAYETTE LA
70503-2252
US

V. Phone/Fax

Practice location:
  • Phone: 337-332-6362
  • Fax: 337-332-6071
Mailing address:
  • Phone: 337-332-6362
  • Fax: 337-332-6071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1041
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT142
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: