Healthcare Provider Details

I. General information

NPI: 1578477790
Provider Name (Legal Business Name): VEAN RADEMEYER MA, PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 WILLIAMSBURG ST
LAKE CHARLES LA
70605-5720
US

IV. Provider business mailing address

5910 CAMELLIA WAY
LAKE CHARLES LA
70605-3107
US

V. Phone/Fax

Practice location:
  • Phone: 337-656-0555
  • Fax: 337-656-0543
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC11542
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: