Provider Demographics
NPI:1295253201
Name:CAMPBELL, ERIN TAYLOR (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:TAYLOR
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8752 QUARTERS LAKE RD BLDG 9
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-7306
Mailing Address - Country:US
Mailing Address - Phone:225-922-9122
Mailing Address - Fax:
Practice Address - Street 1:8752 QUARTERS LAKE RD BLDG 9
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-7306
Practice Address - Country:US
Practice Address - Phone:225-922-9122
Practice Address - Fax:225-922-9125
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA90571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical