Healthcare Provider Details

I. General information

NPI: 1447178389
Provider Name (Legal Business Name): JOSEPH STOGNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 BRES AVE
MONROE LA
71201-5813
US

IV. Provider business mailing address

3106 W DEBORAH DR
MONROE LA
71201-2074
US

V. Phone/Fax

Practice location:
  • Phone: 318-917-4101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC11402
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: