Provider Demographics
NPI:1740587542
Name:MONCLA, SHARI LYNN (LPC/LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:LYNN
Last Name:MONCLA
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 1:9843 COUNTRY LAKE LN
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:LA
Mailing Address - Zip Code:71007-9502
Mailing Address - Country:US
Mailing Address - Phone:318-773-1613
Mailing Address - Fax:
Practice Address - Street 1:820 JORDAN ST
Practice Address - Street 2:STE. 510-E
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4518
Practice Address - Country:US
Practice Address - Phone:318-773-1613
Practice Address - Fax:318-390-6334
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3291101YP2500X
LA1155106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional