Provider Demographics
NPI:1447726187
Name:SANDERS, SHELIA L (LMSW)
Entity type:Individual
Prefix:
First Name:SHELIA
Middle Name:L
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48314 LABONTE LN
Mailing Address - Street 2:
Mailing Address - City:TICKFAW
Mailing Address - State:LA
Mailing Address - Zip Code:70466-3629
Mailing Address - Country:US
Mailing Address - Phone:985-662-6672
Mailing Address - Fax:
Practice Address - Street 1:1905 W THOMAS ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-2901
Practice Address - Country:US
Practice Address - Phone:985-606-3311
Practice Address - Fax:985-605-7231
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-20
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLPC10005101YM0800X
LALMSW11389104100000X
LA11389104100000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker