MEDICARE: MS. SONYA ANDREWS LANDRY 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	59050	TX

General Provider Information

NPI Number	:	1851627368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONYA ANDREWS LANDRY LPC

Provider Business Mailing Address
First Line	:	105 CANYON LAKE CIR
Second Line	:
City	:	LUMBERTON
State	:	TX
Zip	:	77657-3701
Country	:	US
Telephone Number	:	409-200-2220
Fax Number	:	409-440-3344

Provider Business Practice Location Address
First Line	:	105 CANYON LAKE CIR
Second Line	:
City	:	LUMBERTON
State	:	TX
Zip	:	77657-3701
Country	:	US
Telephone Number	:	409-200-2220
Fax Number	:	409-440-3344

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

Provider Enumeration Date	:	10/19/2009
Last Update Date	:	01/19/2024

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