Healthcare Provider Details

I. General information

NPI: 1588901011
Provider Name (Legal Business Name): BREANNA MICHELLE SPRIGGS LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BREANNA MICHELLE LEWIS LPC

II. Dates (important events)

Enumeration Date: 01/03/2013
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 W PINHOOK RD STE 100A
LAFAYETTE LA
70508-3745
US

IV. Provider business mailing address

902 WILDCAT DR
ABBEVILLE LA
70510-3208
US

V. Phone/Fax

Practice location:
  • Phone: 337-981-2180
  • Fax:
Mailing address:
  • Phone: 337-254-1494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4805
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: