Shirley, Susan Ann

Shirley, Susan Ann is an sole proprietor health care provider with primary practice located at 106 Hampton Rd , Lafayette LA 70503-3531. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shirley, Susan Ann can be contacted via phone (337) 356-5486.

Contact Information

Primary practice address
106 Hampton Rd Lafayette LA 70503-3531
Phone: (337) 356-5486
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8882 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 47371 Louisiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4221 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 4451 Louisiana

Profile Details

NPI number 1558537985
LBN Legal business name Shirley, Susan Ann
Credentials LMHC,LPC,CRC,CAP,NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2008
Last updated Dec 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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