Provider Demographics
NPI:1205009479
Name:MARKS, JULIE (LAC, LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MARKS
Suffix:
Gender:F
Credentials:LAC, LPC, LMFT
Other - Prefix:
Other - First Name:J
Other - Middle Name:STAR
Other - Last Name:MAHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC, LPC, LMFT
Mailing Address - Street 1:7656 JEFFERSON HWY
Mailing Address - Street 2:SUITE:1A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1389
Mailing Address - Country:US
Mailing Address - Phone:225-927-2455
Mailing Address - Fax:225-927-7921
Practice Address - Street 1:7656 JEFFERSON HWY
Practice Address - Street 2:SUITE:1A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1389
Practice Address - Country:US
Practice Address - Phone:225-927-2455
Practice Address - Fax:225-927-7921
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1048101YA0400X
LA3245101YP2500X
LA1068106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist