MR. CHASE WALLING (NPI# 1104277821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104277821 |
| Entity Type | Individual |
| Full Name | MR. CHASE WALLING |
| Credential | M.A., PLPC |
| Practice Address |
1409 Kirkman St Lake Charles LA 70601-5344 |
| Practice Telephone | 3374193586 |
| Practice Fax Number | 8552399737 |
| Mailing Telephone | 3374193586 |
| Mailing Fax Number | 8552399737 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
PLPC #6799 | LA | Behavioral Health & Social Service Providers |
| Street Address |
1409 KIRKMAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
| 1972128304 | Latin Berry Sr. | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-11 |
| 1902421654 | David Jennings Milliken | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-09 |
| 1659995629 | Cole Campo | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-04 |
| 1881223857 | Mollie Yorks | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-04-02 |
| 1447886643 | Morgan Leanne Appleby | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-03-19 |
| 1851925408 | Theresa Marie Hardy | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-02-22 |
| 1346881331 | Veronica Lubin | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-10-01 |
| 1760033385 | Michelle B Harp | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-09-25 |
| 1144875048 | Vanessa Silas Mckinstry | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1730561325 | Michael Christopher Rivera | Counselor | 1531 Country Club Rd, Suite 1018, Lake Charles, LA 70605-5338 | 2015-06-19 |
| 1407234446 | Sergio Hayes | Counselor | 127 Williamsburg St Bldg E, Lake Charles, LA 70605-5719 | 2015-05-11 |
| 1518373745 | Sara Mcdonald | Counselor | 300 E Mcneese St Ste 8b, Lake Charles, LA 70605-5700 | 2014-07-09 |
| 1053743757 | Brett Michael Chambley | Counselor | 2802 Hodges St, Lake Charles, LA 70601-7368 | 2013-08-05 |
| 1063857191 | Robin Claire Daugereau | Counselor | 1202 Kirkman St, Suite A, Lake Charles, LA 70601-5391 | 2013-05-02 |
| 1134472673 | Marcell Meaux Gary | Counselor | 2119 Oak Park Blvd, Lake Charles, LA 70601 | 2012-10-22 |
| 1134489255 | Madeline Savoie | Counselor | 914 Carondelet St, Lake Charles, LA 70605-4397 | 2012-05-22 |
| 1649552845 | Christus St. Patrick Hospital | Counselor | 2115 Fitzenrieter Rd, Lake Charles, LA 70601-1139 | 2011-09-13 |
| 1093045320 | Toby W Osburn | Counselor | 194 Williamsburg St, Heritage Square Office Park, Bldg. B, Lake Charles, LA 70605-5720 | 2010-01-08 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on MR. CHASE WALLING.
| 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.