NORTHSHORE ZEN (NPI# 1053868075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053868075 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE ZEN |
| Practice Address |
2000 N Causeway Blvd Ste B Mandeville LA 70471-3173 |
| Practice Telephone | 9858821322 |
| Practice Fax Number | 9858096909 |
| Mailing Telephone | 9858821322 |
| Mailing Fax Number | 9858096909 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | PETE COOPER (OWNER/ LPC) |
| Authorized Official Telephone | 9858821233 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LA | Behavioral Health & Social Service Providers |
| Street Address |
2000 N CAUSEWAY BLVD STE B |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-3173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702345 | Karen Roudkovski | Counselor | 594 Asbury Dr Ste E-10, Mandeville, LA 70471-4101 | 2019-10-24 |
| 1487218244 | Gaye Elizabeth Dupre | Counselor | 543 Montmartre St, Mandeville, LA 70448-2449 | 2019-04-26 |
| 1528532421 | Desislava Georgieva Atlazova | Counselor | 2140 8th St Ste 205, Mandeville, LA 70471-1968 | 2019-01-14 |
| 1639531528 | Paulina B Murphy | Counselor | 201 Shaunell Dr, Mandeville, LA 70448-3331 | 2016-03-22 |
| 1346619970 | Mary Emily Matheny Leavell | Counselor | 525 Adair St, Mandeville, LA 70448-5165 | 2015-09-24 |
| 1124307863 | Leah Rosa | Counselor | 1 Sanctuary Blvd, Suite 306, Mandeville, LA 70471-3305 | 2011-08-11 |
| 1184916827 | Melissa F Desforges | Counselor | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2011-05-13 |
| 1336385053 | Ann Vuncannon Allen | Counselor | 1150 W Causeway Approach, Ste. A, Mandeville, LA 70471-3038 | 2008-12-30 |
| 1225159205 | Constance Evans Romero | Counselor | 800 Jackson Ave, Mandeville, LA 70448 | 2007-04-03 |
| 1407978455 | Brian Robert Mcnulty | Counselor | 706 Kimberly Ann Cir, Mandeville, LA 70471-6732 | 2007-04-03 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on NORTHSHORE ZEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.