Individual provider · Type 1 NPI

Ivy Desirae Bennett Sias, M.S., NCC, LPC

Professional Counselor · Lafayette, LA

NPI number 1659741999 Active

Practice location

1010 Auburn Ave
Lafayette, LA 70503-2308

Call (337) 232-9457 Map

Fax (337) 232-9459

Mailing address

326 Saint Matthias Dr
Carencro, LA 70520-5576

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X5550 (LA)
Professional Counselor Primary 101YP2500X5550 (LA)

Professional Counselor: Definition to come...

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About NPI 1659741999

Ivy Desirae Bennett Sias, M.S., NCC, LPC's National Provider Identifier is 1659741999, issued on Sep 29, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lafayette, LA. The record was last updated on Sep 29, 2015.