Provider Demographics
NPI:1467757716
Name:ROTHSCHILD, MARIA L (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:L
Last Name:ROTHSCHILD
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 1:1713 JOAN DR.
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458
Mailing Address - Country:US
Mailing Address - Phone:985-640-7438
Mailing Address - Fax:
Practice Address - Street 1:550 OLD SPANISH TRL
Practice Address - Street 2:SUITE F
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-4051
Practice Address - Country:US
Practice Address - Phone:985-640-7438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional