Healthcare Provider Details

I. General information

NPI: 1518930924
Provider Name (Legal Business Name): SHERON STEWARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERON FINISTER PHD MA

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 05/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 MARTIN LUTHER KING JR BLVD
FRANKLIN LA
70538-6016
US

IV. Provider business mailing address

PO BOX 23
GARDEN CITY LA
70540-0023
US

V. Phone/Fax

Practice location:
  • Phone: 337-828-7390
  • Fax:
Mailing address:
  • Phone: 337-828-7390
  • Fax: 337-413-1106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1889
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number1889
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: