Provider Demographics
NPI:1952753535
Name:MADDEN, EMILY (PLPC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:MADDEN
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 N NEW HAMPSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2830
Mailing Address - Country:US
Mailing Address - Phone:985-893-6113
Mailing Address - Fax:
Practice Address - Street 1:430 N NEW HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2830
Practice Address - Country:US
Practice Address - Phone:985-893-6113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional