Provider Demographics
NPI:1215302252
Name:JOHNSON, ELIZABETH ANNE WHITFORD (LPC-S)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANNE WHITFORD
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CHARTER RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-5748
Mailing Address - Country:US
Mailing Address - Phone:337-298-8999
Mailing Address - Fax:
Practice Address - Street 1:7265 SAINT CLAUDE
Practice Address - Street 2:
Practice Address - City:ARABI
Practice Address - State:LA
Practice Address - Zip Code:70032-1552
Practice Address - Country:US
Practice Address - Phone:504-264-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6228101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health