Provider Demographics
NPI:1720968134
Name:SHIANNE SYED, M. ED, LPC, NCC, LLC
Entity type:Organization
Organization Name:SHIANNE SYED, M. ED, LPC, NCC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:NYBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-249-5209
Mailing Address - Street 1:213 DOCTOR MICHAEL DEBAKEY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5974
Mailing Address - Country:US
Mailing Address - Phone:337-249-5209
Mailing Address - Fax:337-477-7787
Practice Address - Street 1:213 DOCTOR MICHAEL DEBAKEY DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5974
Practice Address - Country:US
Practice Address - Phone:337-366-1850
Practice Address - Fax:337-429-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty