Healthcare Provider Details

I. General information

NPI: 1285544171
Provider Name (Legal Business Name): KATIE MARIE BAUDOIN CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 CONSTANTIN BLVD FL 3
BATON ROUGE LA
70809-3489
US

IV. Provider business mailing address

8200 CONSTANTIN BLVD FL 3
BATON ROUGE LA
70809-3481
US

V. Phone/Fax

Practice location:
  • Phone: 225-374-4325
  • Fax: 225-765-1173
Mailing address:
  • Phone: 225-374-4325
  • Fax: 225-765-1173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number354433
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: