Provider Demographics
NPI:1639185796
Name:FLORES, SHEREE (LPC)
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-5027
Mailing Address - Country:US
Mailing Address - Phone:985-732-6655
Mailing Address - Fax:985-732-6678
Practice Address - Street 1:2106 AVENUE F
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-5027
Practice Address - Country:US
Practice Address - Phone:985-732-6655
Practice Address - Fax:985-732-6678
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2832101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional