Healthcare Provider Details

I. General information

NPI: 1124480439
Provider Name (Legal Business Name): MARQUIEA ANDERSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12097 OLD HAMMOND HWY STE I4
BATON ROUGE LA
70816-8679
US

IV. Provider business mailing address

8706 JEFFERSON HWY STE A
BATON ROUGE LA
70809-2233
US

V. Phone/Fax

Practice location:
  • Phone: 225-246-8816
  • Fax:
Mailing address:
  • Phone: 225-926-9706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6772
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: