Healthcare Provider Details

I. General information

NPI: 1538510615
Provider Name (Legal Business Name): SHELIA STERLING LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 06/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3949 NORTH BLVD
BATON ROUGE LA
70806-3827
US

IV. Provider business mailing address

3949 NORTH BLVD
BATON ROUGE LA
70806-3827
US

V. Phone/Fax

Practice location:
  • Phone: 225-387-0061
  • Fax: 225-381-7963
Mailing address:
  • Phone: 225-387-0061
  • Fax: 225-381-7963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number5864
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: