MEDICARE: SAMANTHA MAINIERI RAUBER 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		LA

General Provider Information

NPI Number	:	1851952691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA MAINIERI RAUBER LPC

Provider Business Mailing Address
First Line	:	524 CONCORDIA ST
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-6012
Country	:	US
Telephone Number	:	225-230-4650
Fax Number	:	225-208-1422

Provider Business Practice Location Address
First Line	:	524 CONCORDIA ST
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-6012
Country	:	US
Telephone Number	:	225-230-4650
Fax Number	:	225-208-1422

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

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	03/08/2026

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