Provider Demographics
NPI:1699900563
Name:WARE, SONYA C (MS, EDS)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:C
Last Name:WARE
Suffix:
Gender:F
Credentials:MS, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 HILLYER ROBINSON INDUSTRIAL PKWY S APT G56
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-1365
Mailing Address - Country:US
Mailing Address - Phone:256-283-4260
Mailing Address - Fax:
Practice Address - Street 1:1716 HILLYER ROBINSON INDUSTRIAL PKWY S APT G56
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1365
Practice Address - Country:US
Practice Address - Phone:256-283-4260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC1599A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health