Provider Demographics
NPI:1457897936
Name:SUMLING, MAILIA SWYNETTE
Entity type:Individual
Prefix:MS
First Name:MAILIA
Middle Name:SWYNETTE
Last Name:SUMLING
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MAILIA
Other - Middle Name:SWYNETTE
Other - Last Name:HARVEY-SUMLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12012 HIGHWAY 450
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-4800
Mailing Address - Country:US
Mailing Address - Phone:985-295-1734
Mailing Address - Fax:
Practice Address - Street 1:12012 HIGHWAY 450
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-4800
Practice Address - Country:US
Practice Address - Phone:985-295-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-09
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health