KAYLA S FANGUY (NPI# 1104145507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104145507 |
| Entity Type | Individual |
| Full Name | KAYLA S FANGUY |
| Credential | LPC, LMFT |
| Practice Address |
4540 Ambassador Caffery Pkwy Bldg. D, Suite B-220 Lafayette LA 70508-6928 |
| Practice Telephone | 3379812180 |
| Practice Fax Number | 3379812391 |
| Mailing Telephone | 3379812180 |
| Mailing Fax Number | 3379812391 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 3986 | LA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 1129 | LA | Behavioral Health & Social Service Providers |
| Street Address |
4540 AMBASSADOR CAFFERY PKWY BLDG. D, SUITE B-220 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319780 | Virginia B Coreil | Pediatrics | 4540 Ambassador Caffery Pkwy, Ste B220, Lafayette, LA 70508-6928 | 2005-07-07 |
| 1609239508 | Rush Medical - Lafayette, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. B110, Lafayette, LA 70508-6928 | 2016-03-30 |
| 1275993388 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. C-110, Lafayette, LA 70508 | 2016-03-02 |
| 1003286998 | Geeta N Dalal Md LLC | Pediatrics | 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 | 2015-10-05 |
| 1316352164 | Rush Medical | General Practice | 4540 Ambassador Caffery Pkwy, Suite B-110, Lafayette, LA 70508-6928 | 2014-06-30 |
| 1285989772 | Lisa M Larochelle | Social Worker | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2012-07-20 |
| 1861794729 | Jessica Broussard Baudoin | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2010-11-29 |
| 1285864025 | Reactive Nutrition, LLC | Dietitian, Registered | 4540 Ambassador Caffery Pkwy, C240, Lafayette, LA 70508-6928 | 2009-07-14 |
| 1326274408 | Wendy J Leger | Social Worker | 4540 Ambassador Caffery Pkwy, Suite B-220, Lafayette, LA 70508-6928 | 2009-06-03 |
| 1578707097 | Katherine L Lloyd | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite 220, Lafayette, LA 70508-6928 | 2009-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198103 | Emily E Zettner | Marriage & Family Therapist | 3470 Mt Diablo Blvd Ste A200, Lafayette, CA 94549-3985 | 2020-09-11 |
| 1275168874 | Haley Hewitt | Marriage & Family Therapist | 914 Dewing Ave, Lafayette, CA 94549-4209 | 2020-03-04 |
| 1487207916 | Audrey Rose Majerczak | Marriage & Family Therapist | 3470 Mt Diablo Blvd Ste B200, Lafayette, CA 94549-7195 | 2019-07-23 |
| 1235635814 | Jessica Foreman | Marriage & Family Therapist | 1602 W Pinhook Rd Ste 100a, Lafayette, LA 70508-3735 | 2018-04-03 |
| 1649626136 | Daharb Counseling | Marriage & Family Therapist | 505 Zenith Ave, Lafayette, CO 80026-3105 | 2016-05-13 |
| 1619355872 | Cindy Rasicot | Marriage & Family Therapist | 3391 Sweet Dr, Lafayette, CA 94549-5223 | 2015-05-08 |
| 1578961330 | Joseph Bentz | Marriage & Family Therapist | 1 Arbor Way, Lafayette, CA 94549-3304 | 2014-12-10 |
| 1720412430 | Janelle Brady | Marriage & Family Therapist | 1080 Carol Ln., Suite #280, Lafayette, CA 94549 | 2013-08-29 |
| 1326318551 | Laura L Wittenberg | Marriage & Family Therapist | 3704 Mt Diablo Blvd Ste 203, Lafayette, CA 94549-3618 | 2012-01-04 |
| 1770860652 | Debra Williams | Marriage & Family Therapist | 707 S Public Rd, Lafayette, CO 80026-2125 | 2011-11-07 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.