MEDICARE: LAURA ROUSER 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	LPC8420	LA
2	101Y00000X	Counselor	LPC8420	LA

General Provider Information

NPI Number	:	1871193094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ROUSER LPC

Provider Business Mailing Address
First Line	:	609 METAIRIE RD UNIT 6204
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-4034
Country	:	US
Telephone Number	:	561-281-5347
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 METAIRIE RD UNIT 6204
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-4034
Country	:	US
Telephone Number	:	561-281-5347
Fax Number	:

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

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	08/02/2024

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Directions to “ LAURA ROUSER LPC” Practice Location

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