Provider Demographics
NPI:1871323501
Name:LING, SONEISHA MONAY (PHD)
Entity type:Individual
Prefix:DR
First Name:SONEISHA
Middle Name:MONAY
Last Name:LING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BLACKBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:GUYTON
Mailing Address - State:GA
Mailing Address - Zip Code:31312-4142
Mailing Address - Country:US
Mailing Address - Phone:912-323-7287
Mailing Address - Fax:
Practice Address - Street 1:4 BLACKBERRY CIR
Practice Address - Street 2:
Practice Address - City:GUYTON
Practice Address - State:GA
Practice Address - Zip Code:31312-4142
Practice Address - Country:US
Practice Address - Phone:912-323-7287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)