MEDICARE: SOVICHAN E SCARIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	8571	LA
2	106H00000X	Marriage & Family Therapist	MFT1245	LA

General Provider Information

NPI Number	:	1851925929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOVICHAN E SCARIA

Provider Business Mailing Address
First Line	:	302 INGLESIDE DR
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-3956
Country	:	US
Telephone Number	:	318-547-6401
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 INGLESIDE DR
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-3956
Country	:	US
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2020
Last Update Date	:	01/14/2025

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Directions to “ SOVICHAN E SCARIA ” Practice Location

Language	Start Address	Practice Location

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