Provider Demographics
NPI:1730656042
Name:CONLEY, MARLONIKA SHERRIE (RSW)
Entity Type:Individual
Prefix:
First Name:MARLONIKA
Middle Name:SHERRIE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3704 CIMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-1617
Mailing Address - Country:US
Mailing Address - Phone:504-758-5142
Mailing Address - Fax:
Practice Address - Street 1:2400 VETERANS MEMORIAL BLVD STE 215
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-8700
Practice Address - Country:US
Practice Address - Phone:504-405-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health