Provider Demographics
NPI:1548589906
Name:CAHANIN, SUZAN (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:SUZAN
Middle Name:
Last Name:CAHANIN
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5099 BEECHWOOD HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71107-3430
Mailing Address - Country:US
Mailing Address - Phone:318-990-1065
Mailing Address - Fax:318-996-7676
Practice Address - Street 1:5099 BEECHWOOD HILLS DRIVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71107
Practice Address - Country:US
Practice Address - Phone:318-990-1065
Practice Address - Fax:318-996-7676
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3103101YP2500X
LA1135106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional