Healthcare Provider Details

I. General information

NPI: 1215302252
Provider Name (Legal Business Name): ELIZABETH ANNE WHITFORD JOHNSON LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2015
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7265 SAINT CLAUDE
ARABI LA
70032-1552
US

IV. Provider business mailing address

134 CHARTER RIDGE CT
BATON ROUGE LA
70810-5748
US

V. Phone/Fax

Practice location:
  • Phone: 504-264-5201
  • Fax:
Mailing address:
  • Phone: 337-298-8999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6228
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: