Provider Demographics
NPI:1861984346
Name:SUGGS, SHERIDA MONIQUE
Entity type:Individual
Prefix:
First Name:SHERIDA
Middle Name:MONIQUE
Last Name:SUGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 W LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2444
Mailing Address - Country:US
Mailing Address - Phone:985-652-7833
Mailing Address - Fax:
Practice Address - Street 1:299 BELLE TERRE BLVD STE E
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2425
Practice Address - Country:US
Practice Address - Phone:985-651-4612
Practice Address - Fax:985-651-4613
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty