MEDICARE: LAUREN DESALVO 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
1	101YM0800X	Mental Health Counselor	8931	LA

General Provider Information

NPI Number	:	1720945090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN DESALVO LPC

Provider Business Mailing Address
First Line	:	311 SAINT THOMAS LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4298
Country	:	US
Telephone Number	:	504-264-2684
Fax Number	:

Provider Business Practice Location Address
First Line	:	9270 SIEGEN LN BLDG 303
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-0932
Country	:	US
Telephone Number	:	504-264-2684
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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