MEDICARE: AIMEE DUPUY LPC

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	101Y00000X	Counselor	LH61406856	WA
2	101Y00000X	Counselor	6592	LA

General Provider Information

NPI Number	:	1700364783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE DUPUY LPC

Provider Business Mailing Address
First Line	:	2020 W PINHOOK RD STE 101
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3211
Country	:	US
Telephone Number	:	337-501-3905
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 W PINHOOK RD STE 101
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3211
Country	:	US
Telephone Number	:	337-501-3905
Fax Number	:

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

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	11/09/2023

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