Healthcare Provider Details

I. General information

NPI: 1215956362
Provider Name (Legal Business Name): DAVID LLOYD GOVENER M.DIV., PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 FILHIOL AVE
MONROE LA
71203-3828
US

IV. Provider business mailing address

15 LURAY DR
MONROE LA
71203-6602
US

V. Phone/Fax

Practice location:
  • Phone: 318-343-3316
  • Fax: 318-343-3851
Mailing address:
  • Phone: 318-345-0424
  • Fax: 318-345-0425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC2775
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT492
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: