Healthcare Provider Details

I. General information

NPI: 1720739220
Provider Name (Legal Business Name): ANNA ELIZABETH JUAREZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2022
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 COOLIDGE BLVD STE 303
LAFAYETTE LA
70503-2636
US

IV. Provider business mailing address

100 WHIRLAWAY DR
LAFAYETTE LA
70507-2786
US

V. Phone/Fax

Practice location:
  • Phone: 337-232-6697
  • Fax: 337-232-3147
Mailing address:
  • Phone: 337-967-0385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: