Provider Demographics
NPI:1659655256
Name:JOSEPH, SHAWN CAMPBELL (LPC, LMFT, NCC)
Entity Type:Individual
Prefix:MRS
First Name:SHAWN
Middle Name:CAMPBELL
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LPC, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6045 PARKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6131
Mailing Address - Country:US
Mailing Address - Phone:225-397-5706
Mailing Address - Fax:
Practice Address - Street 1:6045 PARKHAVEN DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6131
Practice Address - Country:US
Practice Address - Phone:225-397-5706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA227518101Y00000X
LA3229101YM0800X, 101YP2500X
LA1082106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist