CHARLOTTE IVY LPC
NPI 1164013876
Counselor - Professional in Lafayette, LA

Active since January 27, 2021
1921 DULLES DR, LAFAYETTE, LA 70506(337) 223-9487(888) 511-5650 Get Directions Write a Review

NPPES record last updated: February 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2021, Jan 27, 2021 (2 updates tracked since 2021).

About Charlotte Ivy Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLOTTE IVY LPC (NPI 1164013876) is an individual professional provider in Lafayette, Louisiana and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1164013876
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLOTTE IVYCredential: LPC
Location Address1921 DULLES DRLafayette, LA 70506-2716
Mailing Address9843 Blaine Lake DrHouston, TX 77086-2878 · (337) 257-9065 · Fax (888) 511-5650
Fax(888) 511-5650
Sole ProprietorNo
Enumeration DateJanuary 27, 2021
Last NPPES UpdateFebruary 20, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2021
NPI 1164013876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1921 DULLES DR, Lafayette, LA 70506

Other Identifiers 2

Other12345678999966655525Intern Number
OtherPLC6505LA · License #

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1921 DULLES DR
LAFAYETTE, LA 70506
Nurse Practitioner (Psychiatric/Mental Health)
1921 DULLES DR
LAFAYETTE, LA 70506
Nurse Practitioner (Psychiatric/Mental Health)
1921 DULLES DR
LAFAYETTE, LA 70506
Nurse Practitioner (Psychiatric/Mental Health)
1921 DULLES DR
LAFAYETTE, LA 70506
Nurse Practitioner (Psychiatric/Mental Health)
1921 DULLES DR
LAFAYETTE, LA 70506
Nurse Practitioner (Psychiatric/Mental Health)
1921 DULLES DR
LAFAYETTE, LA 70506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164013876, enumerated as an "individual" on January 27, 2021.

The provider is located at 1921 DULLES DR LAFAYETTE, LA 70506 and the phone number is (337) 223-9487.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.