Provider Demographics
NPI:1700392834
Name:EMILY HAUSLADEN, LPC
Entity Type:Organization
Organization Name:EMILY HAUSLADEN, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAUSLADEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:985-377-9103
Mailing Address - Street 1:200 CHAPEL CRK APT 308
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-2589
Mailing Address - Country:US
Mailing Address - Phone:920-309-0541
Mailing Address - Fax:
Practice Address - Street 1:2133 SILVERSIDE DR STE G
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4179
Practice Address - Country:US
Practice Address - Phone:985-377-9103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5851261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health