MEDICARE: ALYSSA SCHWARTZENBURG PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1013373943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA SCHWARTZENBURG PLPC

Provider Business Mailing Address
First Line	:	200 BRIDGEWAY DR APT 125
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4019
Country	:	US
Telephone Number	:	337-499-8005
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 GENERAL MOUTON AVE
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-8529
Country	:	US
Telephone Number	:	337-552-2046
Fax Number	:	337-205-9893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2016
Last Update Date	:	03/22/2018

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Directions to “ ALYSSA SCHWARTZENBURG PLPC” Practice Location

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