Provider Demographics
NPI:1306073572
Name:SONGE, MARGARET (LPC-S, DCC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:SONGE
Suffix:
Gender:F
Credentials:LPC-S, DCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 CANAL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4502
Mailing Address - Country:US
Mailing Address - Phone:985-772-3159
Mailing Address - Fax:
Practice Address - Street 1:716 CANAL BLVD STE B
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-4502
Practice Address - Country:US
Practice Address - Phone:985-772-3159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
LA4487101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health