Provider Demographics
NPI:1891934998
Name:REID, SARAKAY J (LPC, LMFT, LAC)
Entity Type:Individual
Prefix:MRS
First Name:SARAKAY
Middle Name:J
Last Name:REID
Suffix:
Gender:F
Credentials:LPC, LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 NELLA ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-3034
Mailing Address - Country:US
Mailing Address - Phone:318-371-3001
Mailing Address - Fax:318-371-3300
Practice Address - Street 1:502 NELLA ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3034
Practice Address - Country:US
Practice Address - Phone:318-371-3001
Practice Address - Fax:318-371-3300
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA729101YA0400X
LA215106H00000X
LA2430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1710083Medicaid