Provider Demographics
NPI:1184875890
Name:BAXTER, LAURA LANE (LPC-S, LMFT, NCC)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:LANE
Last Name:BAXTER
Suffix:
Gender:F
Credentials:LPC-S, LMFT, NCC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LANE
Other - Last Name:ALDERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-S, LMFT, NCC
Mailing Address - Street 1:901 DELMAR ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-1513
Mailing Address - Country:US
Mailing Address - Phone:318-469-3335
Mailing Address - Fax:
Practice Address - Street 1:820 JORDAN ST STE 510C
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4526
Practice Address - Country:US
Practice Address - Phone:318-469-3335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA961106H00000X
LA2962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist