Healthcare Provider Details

I. General information

NPI: 1821901083
Provider Name (Legal Business Name): ANYA MICHELLE GLUSMAN HUDNALL PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15555 GEORGE ONEAL RD
BATON ROUGE LA
70817-1514
US

IV. Provider business mailing address

15555 GEORGE ONEAL RD
BATON ROUGE LA
70817-1514
US

V. Phone/Fax

Practice location:
  • Phone: 225-398-8330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPLC11516
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: