Healthcare Provider Details

I. General information

NPI: 1497522742
Provider Name (Legal Business Name): BARBARA MARXER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 CHEVELLE CT
BATON ROUGE LA
70806-6502
US

IV. Provider business mailing address

2156 WOODDALE BLVD STE 75
BATON ROUGE LA
70806-1403
US

V. Phone/Fax

Practice location:
  • Phone: 225-303-0212
  • Fax:
Mailing address:
  • Phone: 225-930-8058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberPLC11056
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPLC11056
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: