Provider Demographics
NPI:1649320870
Name:SUTHERLAND-HOYT, LOUISE (LMHC)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:
Last Name:SUTHERLAND-HOYT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 7TH B ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-4553
Mailing Address - Country:US
Mailing Address - Phone:775-225-5910
Mailing Address - Fax:
Practice Address - Street 1:6404 MANATEE AVE W
Practice Address - Street 2:SUITE I
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2379
Practice Address - Country:US
Practice Address - Phone:941-405-3523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health