Provider Demographics
NPI:1881989994
Name:SEARS, CYNTHIA ANN (LPC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:SEARS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 SUSAN DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-3446
Mailing Address - Country:US
Mailing Address - Phone:985-969-3681
Mailing Address - Fax:877-404-9060
Practice Address - Street 1:506 SUSAN DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-3446
Practice Address - Country:US
Practice Address - Phone:985-969-3681
Practice Address - Fax:877-404-9060
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3461101YP2500X
LAA427806101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool