Individual provider · Type 1 NPI

Charlotte Ivy, LPC

Professional Counselor · Lafayette, LA

NPI number 1164013876 Active

Practice location

1921 Dulles Dr
Lafayette, LA 70506-2716

Fax (888) 511-5650

Mailing address

9843 Blaine Lake Dr
Houston, TX 77086-2878

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1164013876

Charlotte Ivy, LPC's National Provider Identifier is 1164013876, issued on Jan 27, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lafayette, LA. The record was last updated on Feb 20, 2021.