Provider Demographics
NPI:1225143605
Name:MARABELLA, DIANE BRAUD (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:BRAUD
Last Name:MARABELLA
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16654 S FULWAR SKIPWITH RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-5731
Mailing Address - Country:US
Mailing Address - Phone:225-754-1068
Mailing Address - Fax:225-753-2367
Practice Address - Street 1:7920 WRENWOOD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1784
Practice Address - Country:US
Practice Address - Phone:225-927-2573
Practice Address - Fax:225-753-2367
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1664101YP2500X
LA79106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist