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NPI Code Detail

MEDICARE: EMILY HAUSLADEN, LPC

MEDICARE: EMILY HAUSLADEN, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center5851LA

General Provider Information

NPI Number : 1700392834
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMILY HAUSLADEN, LPC
Provider Business Mailing Address
First Line : 200 CHAPEL CRK APT 308
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-2589
Country : US
Telephone Number : 920-309-0541
Fax Number :
Provider Business Practice Location Address
First Line : 2133 SILVERSIDE DR STE G
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4179
Country : US
Telephone Number : 985-377-9103
Fax Number :
Authorized Official
Title or Position : MENTAL HEALTH THERAPIST
Name : EMILY E HAUSLADEN
Credential : LPC
Telephone Number : 985-377-9103
Provider Enumeration Date : 12/27/2017
Last Update Date : 12/27/2017

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