Healthcare Provider Details

I. General information

NPI: 1336863133
Provider Name (Legal Business Name): DELANIE J TURNER-SHORTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9516 AIRLINE HWY
BATON ROUGE LA
70815-5501
US

IV. Provider business mailing address

9516 AIRLINE HWY
BATON ROUGE LA
70815-5501
US

V. Phone/Fax

Practice location:
  • Phone: 122-565-5642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC9023
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: