Provider Demographics
NPI:1205571817
Name:AULBACH-EMIRA, RITA FAE (BA, AS, LMP, IPHM)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:FAE
Last Name:AULBACH-EMIRA
Suffix:
Gender:F
Credentials:BA, AS, LMP, IPHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13836 SPANISH OAK DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70818-1425
Mailing Address - Country:US
Mailing Address - Phone:225-888-3639
Mailing Address - Fax:
Practice Address - Street 1:13836 SPANISH OAK DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70818-1425
Practice Address - Country:US
Practice Address - Phone:225-888-3639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PWA-4567217101200000X, 101Y00000X, 102X00000X, 171400000X, 172V00000X, 174H00000X, 174V00000X, 175T00000X, 221700000X, 225A00000X, 332U00000X, 374K00000X
IPHMNM9927173C00000X, 225700000X
376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker
No173C00000XOther Service ProvidersReflexologist
No174H00000XOther Service ProvidersHealth Educator
No174V00000XOther Service ProvidersClinical Ethicist
No175T00000XOther Service ProvidersPeer Specialist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No332U00000XSuppliersHome Delivered Meals
No376K00000XNursing Service Related ProvidersNurse's Aide