MEDICARE: MRS. HUEIDESIA LADOROTHY HENDERSON TONEY MA, LPC

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	LPC 5425	LA

General Provider Information

NPI Number	:	1386994200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HUEIDESIA LADOROTHY HENDERSON TONEY MA, LPC

Provider Business Mailing Address
First Line	:	388 FORTY OAKS FARM RD
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-9095
Country	:	US
Telephone Number	:	318-366-2544
Fax Number	:

Provider Business Practice Location Address
First Line	:	388 FORTY OAKS FARM RD
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-9095
Country	:	US
Telephone Number	:	318-366-2544
Fax Number	:

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

Provider Enumeration Date	:	09/18/2012
Last Update Date	:	11/04/2015

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