| Doctor Name: | MR. LARRY C. PHINNEY |
| NPI Number: | 1013160928 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 2937 |
| Business Practice Address: | 40521 Pumpkin Center Rd Hammond, LA - 704031835 |
| Business Phone Number: | 9853200237 |
| Business Fax Number: | 2252940404 |
| Mailing Address: | 30270 Jericho Dr, ALBANY |
| State: | LA |
| Postal Code: | 707112818 |
| Phone Number: | 2255672928 |
| Fax Number: | 2252940404 |
| NPI Enumeration Date: | 10/23/2008 |
| NPI Last Update Date: | 06/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2937 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |