Healthcare Provider Details

I. General information

NPI: 1205009479
Provider Name (Legal Business Name): JULIE MARKS LAC, LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: J STAR MAHER LAC, LPC, LMFT

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8752 QUARTERS LAKE RD # 9
BATON ROUGE LA
70809-7306
US

IV. Provider business mailing address

8752 QUARTERS LAKE RD # 9
BATON ROUGE LA
70809-7306
US

V. Phone/Fax

Practice location:
  • Phone: 225-922-9122
  • Fax: 225-922-9125
Mailing address:
  • Phone: 225-922-9122
  • Fax: 225-922-9125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1048
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3245
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1068
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: