Healthcare Provider Details

I. General information

NPI: 1659422657
Provider Name (Legal Business Name): LUCY GLENN ROGERS LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LUCY ROGERS SHERROUSE LPC, LMFT, NCC

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 S FOSTER DR STE 130
BATON ROUGE LA
70806-5943
US

IV. Provider business mailing address

1953 MULLEN DR
BATON ROUGE LA
70810-3381
US

V. Phone/Fax

Practice location:
  • Phone: 225-803-6270
  • Fax: 225-766-9267
Mailing address:
  • Phone: 225-766-9267
  • Fax: 225-766-9267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2641
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: