Provider Demographics
NPI:1881600856
Name:SUNSERI, LINDA D (LPC, LMFT, NCC)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:D
Last Name:SUNSERI
Suffix:
Gender:F
Credentials:LPC, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 METAIRIE ROAD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005
Mailing Address - Country:US
Mailing Address - Phone:504-831-3136
Mailing Address - Fax:504-733-1117
Practice Address - Street 1:433 METAIRIE ROAD
Practice Address - Street 2:SUITE 315
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005
Practice Address - Country:US
Practice Address - Phone:504-831-3136
Practice Address - Fax:504-733-1117
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1976101YP2500X
LA307106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA029921OtherPRACTITIONER ID #