| Doctor Name: | MS. LOIS ANNE THEALL |
| NPI Number: | 1396946786 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA PSYCHOLOGT LPC LM |
| License Number: | LPC1594 |
| Business Practice Address: | 208 Third St Youngsville, LA - 70592 |
| Business Phone Number: | 3378565201 |
| Business Fax Number: | 3378570772 |
| Mailing Address: | Po Box 876, YOUNGSVILLE |
| State: | LA |
| Postal Code: | 70592 |
| Phone Number: | 3378565201 |
| Fax Number: | 3378570772 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC1594 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |