Provider Demographics
NPI:1285401364
Name:PRICE, LA VONYA SHERRIE (MSW ASW)
Entity type:Individual
Prefix:
First Name:LA VONYA
Middle Name:SHERRIE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MSW ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16465 GREEN TREE BLVD APT 36
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5240
Mailing Address - Country:US
Mailing Address - Phone:323-972-3322
Mailing Address - Fax:
Practice Address - Street 1:16465 GREEN TREE BLVD APT 36
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5240
Practice Address - Country:US
Practice Address - Phone:323-972-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health