Basic Information
Provider Information
NPI: 1821468075
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARRINGTON
FirstName: SAUNDRA
MiddleName: LYNN
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4951 CENTRAL AVE
Address2:  
City: MONROE
State: LA
PostalCode: 712036156
CountryCode: US
TelephoneNumber: 3183401535
FaxNumber: 3183401539
Practice Location
Address1: 4951 CENTRAL AVE
Address2:  
City: MONROE
State: LA
PostalCode: 712036156
CountryCode: US
TelephoneNumber: 3183401535
FaxNumber: 3183401539
Other Information
ProviderEnumerationDate: 09/30/2015
LastUpdateDate: 09/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X2728LAY Behavioral Health & Social Service ProvidersCounselorProfessional
106H00000X751LAN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


Home