Healthcare Provider Details

I. General information

NPI: 1902276181
Provider Name (Legal Business Name): SABRYNA HERRING-ANTWINE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SABRYNA HERRING LPC

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4951 CENTRAL AVE
MONROE LA
71203-6156
US

IV. Provider business mailing address

106 MAHAN LN
MONROE LA
71203-8566
US

V. Phone/Fax

Practice location:
  • Phone: 318-340-1535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5462
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number68807
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number5462
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: