Sue C Cloinger, LPC, LMFT
Individual provider Active NPI Professional Counselor · Shreveport, LA
NPI 1285906255 · NPPES record last updated Feb 6, 2012
Key facts
- NPI
- 1285906255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2044 (LA)
- Practice address
- 2620 Centenary Blvd
BLDG 3, Suite 312
Shreveport, LA 71104-3356 - Phone
- (318) 681-9935
- Fax
- (318) 681-9938
- NPI assigned
- Feb 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2044 | LA | MD | Professional Counselor |
| 846 | LA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2044 | LA | Yes |
| Marriage & Family Therapist | 106H00000X | 846 | LA |
Addresses
Primary practice location
2620 Centenary Blvd
BLDG 3, Suite 312
Shreveport, LA 71104-3356
Mailing address
490 Island Rd
Elm Grove, LA 71051-8031
Phone (318) 681-9935
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 846 | Other | LA | LPC, LMFT |
Other providers in Shreveport, LA
- Kevin James Cline
- Clinger Family Counseling Services, LLC
- Ashley Enders Clinger
- Clint Davis Counseling LLC
- Stormy Clinton
- Cloud Mind
- Cody Allen Cloud
- Jennifer Martin Cloutet
- CLW Counseling, LLC
- Cmit Louisiana, LLC
All providers in Shreveport, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.