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NPI Code Detail

MEDICARE: ANGELA LEGE M.S., LPC

MEDICARE: ANGELA LEGE M.S., 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 Counselor6343LA
2101YM0800XMental Health Counselor6343LA

General Provider Information

NPI Number : 1942672183
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA LEGE M.S., LPC
Provider Business Mailing Address
First Line : 1000 CHINABERRY DR STE 900
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2455
Country : US
Telephone Number : 337-261-2300
Fax Number : 337-261-9080
Provider Business Practice Location Address
First Line : 1010 AUBURN AVE
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-2308
Country : US
Telephone Number : 337-261-2300
Fax Number : 337-261-9080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2015
Last Update Date : 01/26/2026

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