Provider Demographics
NPI:1508140708
Name:PARKER, SONYA (LPC NCC)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 LOUISIANA AVENUE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71052-2621
Mailing Address - Country:US
Mailing Address - Phone:318-872-5576
Mailing Address - Fax:318-872-9780
Practice Address - Street 1:501 LOUISIANA AVENUE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:LA
Practice Address - Zip Code:71052-2621
Practice Address - Country:US
Practice Address - Phone:318-872-5576
Practice Address - Fax:318-872-9780
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1710113Medicaid
LA1710113Medicaid