Provider Demographics
NPI:1285906255
Name:CLOINGER, SUE C (LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:SUE
Middle Name:C
Last Name:CLOINGER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:ELM GROVE
Mailing Address - State:LA
Mailing Address - Zip Code:71051-8031
Mailing Address - Country:US
Mailing Address - Phone:318-681-9935
Mailing Address - Fax:318-681-9938
Practice Address - Street 1:2620 CENTENARY BLVD
Practice Address - Street 2:BLDG 3, SUITE 312
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3356
Practice Address - Country:US
Practice Address - Phone:318-681-9935
Practice Address - Fax:318-681-9938
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2044101YP2500X
LA846106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA846OtherLPC, LMFT