Healthcare Provider Details

I. General information

NPI: 1033482674
Provider Name (Legal Business Name): JANICE ANN SYLVESTER LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2012
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S MAIN ST
OPELOUSAS LA
70570-6137
US

IV. Provider business mailing address

609 COUNTRY RIDGE RD
OPELOUSAS LA
70570-1650
US

V. Phone/Fax

Practice location:
  • Phone: 337-945-1032
  • Fax: 337-678-1893
Mailing address:
  • Phone: 337-230-5638
  • Fax: 337-942-1668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC2784
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT725
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: