Basic Information
Provider Information
NPI: 1295106607
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: SHOMAYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 410 CRAWFORD RD
Address2:  
City: MONROE
State: LA
PostalCode: 712028509
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 622 RIVERSIDE DR
Address2:  
City: MONROE
State: LA
PostalCode: 712016211
CountryCode: US
TelephoneNumber: 3183980945
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/12/2015
LastUpdateDate: 07/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X6715LAY Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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