Provider Demographics
NPI:1922461987
Name:FLEMING, STERLING JR
Entity Type:Individual
Prefix:
First Name:STERLING
Middle Name:
Last Name:FLEMING
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 CROWDER BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2429
Mailing Address - Country:US
Mailing Address - Phone:504-241-6006
Mailing Address - Fax:504-241-6007
Practice Address - Street 1:5630 CROWDER BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127
Practice Address - Country:US
Practice Address - Phone:504-241-6006
Practice Address - Fax:504-241-6007
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator