Healthcare Provider Details

I. General information

NPI: 1033436639
Provider Name (Legal Business Name): VALERIE PEROT M.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 S VIENNA ST STE 7
RUSTON LA
71270-5864
US

IV. Provider business mailing address

1207 S LENOX ST
TYLER TX
75701-2632
US

V. Phone/Fax

Practice location:
  • Phone: 318-214-9200
  • Fax:
Mailing address:
  • Phone: 318-521-5655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number4566
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: