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NPI Code Detail

MEDICARE: AMELIA GEORGE LPC

MEDICARE:   AMELIA  GEORGE  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
1101YP2500XProfessional Counselor7501LA
2101YM0800XMental Health Counselor7501LA

General Provider Information

NPI Number : 1902355001
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA GEORGE LPC
Provider Business Mailing Address
First Line : 302 DULLES DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-3008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 302 DULLES DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-3008
Country : US
Telephone Number : 337-262-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2016
Last Update Date : 01/12/2026

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Directions to “ AMELIA GEORGE LPC” Practice Location

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