Provider Demographics
NPI:1922067131
Name:DILKS, SATTARIA (APRN-BC, LPC,LMFT)
Entity Type:Individual
Prefix:
First Name:SATTARIA
Middle Name:
Last Name:DILKS
Suffix:
Gender:F
Credentials:APRN-BC, LPC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 WEST HALE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601
Mailing Address - Country:US
Mailing Address - Phone:337-433-9177
Mailing Address - Fax:337-433-9173
Practice Address - Street 1:324 WEST HALE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601
Practice Address - Country:US
Practice Address - Phone:337-433-9177
Practice Address - Fax:337-433-9173
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA442101YM0800X
LA140106H00000X
LA039605163WP0808X
LA03975363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1141861Medicaid
LA4P600DN79Medicare PIN
LA1141861Medicaid