MEDICARE: STACY MICHELLE LEWIS GOINS 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
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	9102	LA

General Provider Information

NPI Number	:	1962137620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY MICHELLE LEWIS GOINS M.S., LPC

Provider Business Mailing Address
First Line	:	2439 MANHATTAN BLVD STE 311
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5360
Country	:	US
Telephone Number	:	504-813-2298
Fax Number	:	504-267-2491

Provider Business Practice Location Address
First Line	:	2439 MANHATTAN BLVD STE 311
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5360
Country	:	US
Telephone Number	:	504-813-2298
Fax Number	:	504-267-2491

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

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	01/22/2026

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