Provider Demographics
NPI:1972622108
Name:SORIANO, JAMES P (LPC, LMFT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:P
Last Name:SORIANO
Suffix:
Gender:M
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:PO BOX 715
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:MS
Mailing Address - Zip Code:39560-0715
Mailing Address - Country:US
Mailing Address - Phone:228-256-4052
Mailing Address - Fax:855-461-3511
Practice Address - Street 1:2215 23RD AVE
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-4612
Practice Address - Country:US
Practice Address - Phone:228-547-6459
Practice Address - Fax:855-461-3511
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0870101YM0800X
MS000029106H00000X
MS870101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist