Provider Demographics
NPI:1942211511
Name:SUNSHINE PROFESSIONAL COUNSELING, INC.
Entity Type:Organization
Organization Name:SUNSHINE PROFESSIONAL COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW
Authorized Official - Phone:504-458-2028
Mailing Address - Street 1:7350 BRIARHEATH DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128
Mailing Address - Country:US
Mailing Address - Phone:504-458-2028
Mailing Address - Fax:
Practice Address - Street 1:7350 BRIARHEATH DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-2412
Practice Address - Country:US
Practice Address - Phone:504-458-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1530654Medicaid
LA1530654Medicaid