Healthcare Provider Details

I. General information

NPI: 1831812783
Provider Name (Legal Business Name): AMBER DEUTSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 N 6TH ST
WEST MONROE LA
71291-4120
US

IV. Provider business mailing address

307 W HEIGHTS DR
WEST MONROE LA
71292-6335
US

V. Phone/Fax

Practice location:
  • Phone: 318-737-7201
  • Fax:
Mailing address:
  • Phone: 318-348-4994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9353
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: