MEDICARE: MARY ELIZABETH CAMPBELL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	9213	LA

General Provider Information

NPI Number	:	1447103692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH CAMPBELL LPC

Provider Business Mailing Address
First Line	:	2006 RAMSEY DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-1640
Country	:	US
Telephone Number	:	225-810-2814
Fax Number	:	225-810-2814

Provider Business Practice Location Address
First Line	:	2006 RAMSEY DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-1640
Country	:	US
Telephone Number	:	225-810-2814
Fax Number	:	225-810-2814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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