Provider Demographics
NPI:1649832171
Name:SYED, SHIANNE NICHOLE (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:SHIANNE
Middle Name:NICHOLE
Last Name:SYED
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:MS
Other - First Name:SHIANNE
Other - Middle Name:NICHOLE
Other - Last Name:FUSLIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLPC
Mailing Address - Street 1:213 DOCTOR MICHAEL DEBAKEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5974
Mailing Address - Country:US
Mailing Address - Phone:337-366-1850
Mailing Address - Fax:
Practice Address - Street 1:213 DOCTOR MICHAEL DEBAKEY DRIVE
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5974
Practice Address - Country:US
Practice Address - Phone:337-366-1850
Practice Address - Fax:337-429-8141
Is Sole Proprietor?:No
Enumeration Date:2019-07-04
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9216101YP2500X
TX97942101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional