Provider Demographics
NPI:1760912091
Name:LAUDIANO, JOYCE AGNES NATIVIDAD (MA)
Entity Type:Individual
Prefix:
First Name:JOYCE AGNES
Middle Name:NATIVIDAD
Last Name:LAUDIANO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 HEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-5237
Mailing Address - Country:US
Mailing Address - Phone:225-200-7212
Mailing Address - Fax:
Practice Address - Street 1:422 COLONIAL DR STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806
Practice Address - Country:US
Practice Address - Phone:225-292-5151
Practice Address - Fax:225-292-5152
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health