TYKELA RENA HODGES (NPI# 1073121075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073121075 |
| Entity Type | Individual |
| Full Name | TYKELA RENA HODGES |
| Practice Address |
4336 North Blvd Ste 204 Baton Rouge LA 70806-3920 |
| Practice Telephone | 2259607419 |
| Practice Fax Number | 2259607421 |
| Mailing Telephone | 2259607419 |
| Mailing Fax Number | 2259607421 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4336 NORTH BLVD STE 204 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386002582 | Victoria Selders | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806 | 2016-02-02 |
| 1184225997 | Melissa Bradley | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2020-11-06 |
| 1588262489 | Monicke Baker | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2020-10-13 |
| 1063031227 | Kenyall Shardae Williams | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2020-04-08 |
| 1770121048 | Joi Ashley Legard | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2019-12-17 |
| 1316589823 | Renicca Carter | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2019-10-16 |
| 1922640424 | Brigitte Taylor Haynes | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2019-10-16 |
| 1538628391 | Reginald Mario Brewer Sr. | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2019-03-19 |
| 1851850416 | Cherris Robinson | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2019-03-13 |
| 1295216547 | Danielle Mitchell | Counselor | 4336 North Blvd Ste 204, Baton Rouge, LA 70806-3920 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160024 | Benjamin Ng | Counselor | 8758 Field Dr, Baton Rouge, LA 70809-2903 | 2020-10-07 |
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1578181814 | Angela Nicole Vaughn | Counselor | 7464 Board Dr, Baton Rouge, LA 70817-5311 | 2020-07-13 |
| 1487270393 | Joanna Sheppard | Counselor | 331 Grandpre St, Baton Rouge, LA 70802-5919 | 2020-06-17 |
| 1417579012 | Cl's Counseling and Consulting Firm, LLC | Counselor | 13969 Windwood Dr, Baton Rouge, LA 70816-1887 | 2020-05-18 |
| 1043830938 | Andrea Frank | Counselor | 2506 Mcgrath Ave Apt 16, Baton Rouge, LA 70806-5434 | 2020-04-21 |
| 1881214666 | Shetamian Wilson | Counselor | 4336 North Blvd Ste 208, Baton Rouge, LA 70806-3920 | 2020-04-21 |
| 1679108740 | Gracefully Purposed Counseling & Consulting, LLC | Counselor | 8542 Siegen Ln Ste 6, Baton Rouge, LA 70810-1940 | 2020-03-09 |
| 1588227623 | Melanie E Salles | Counselor | 2718 Toulon Dr, Baton Rouge, LA 70816-5120 | 2019-04-15 |
| 1275091514 | A T.r.u.t.h. 180 Health Services of Louisiana, LLC | Counselor | 1254 Central Rd, Baton Rouge, LA 70807-3820 | 2019-03-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on TYKELA RENA HODGES.
| 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.