NOLA INNOVATIVE PSYCHIATRIC SERVICES, LLC (NPI# 1144673765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144673765 |
| Entity Type | Organization |
| Organization Name | NOLA INNOVATIVE PSYCHIATRIC SERVICES, LLC |
| Practice Address |
3520 General Degaulle Dr Ste 4098 New Orleans LA 70114-6757 |
| Mailing Address |
3320 N Arnoult Rd Apt 226 Metairie LA 70002-3396 |
| Practice Telephone | 5043306308 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MR. GERREN WILSON (OWNER) |
| Authorized Official Telephone | 5043306038 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3520 GENERAL DEGAULLE DR STE 4098 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70114-6757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477515187 | William Smith Brasted | Psychologist | 3520 General Degaulle Dr, Suite 4098, New Orleans, LA 70114-6757 | 2006-04-06 |
| 1043767189 | Takeisha Nelson | Counselor | 3520 General Degaulle Dr, Suite # 4070, New Orleans, LA 70114 | 2016-09-07 |
| 1619423514 | Brian C Larce | Case Manager/Care Coordinator | 3520 General Degaulle Dr, New Orleans, LA 70114-6757 | 2016-08-30 |
| 1801253059 | Gervey and Associates, LLC | Psychologist | 3520 General Degaulle Dr, Suite 4098, New Orleans, LA 70114-6757 | 2016-01-19 |
| 1780049643 | Monique Lynette Lewis | Counselor | 3520 General Degaulle Dr, Suite 4070, New Orleans, LA 70114-6757 | 2015-12-19 |
| 1467817452 | Datrice Smith | Social Worker | 3520 General Degaulle Dr, New Orleans, LA 70114-6757 | 2015-12-18 |
| 1083079206 | Teidra Gaspard | Case Manager/Care Coordinator | 3520 General Degaulle Dr, Suite 4070, New Orleans, LA 70114-6757 | 2015-12-15 |
| 1548634868 | Justine Pigott | Counselor | 3520 General Degaulle Dr, Suite 4070, New Orleans, LA 70114-6757 | 2015-11-24 |
| 1194109355 | Tallace Madina | Counselor | 3520 General Degaulle Dr, New Orleans, LA 70114-6757 | 2015-07-16 |
| 1417338815 | Natisha Davis-wilson | Counselor | 3520 General Degaulle Dr, Suite 4070, New Orleans, LA 70114-6757 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789645 | Reginald A Parquet | Social Worker | 3510 General Meyer Avenue, New Orleans, LA 70114 | 2019-03-14 |
| 1386114957 | Trenai' Augusta Lewis | Registered Nurse | Use 3100 General Degaulle, New Orleans, LA 70114 | 2018-11-27 |
| 1003335522 | Samiyya Antoinette Degree | Case Manager/Care Coordinator | 1525 L B Landry Ave, New Orleans, LA 70114 | 2017-09-15 |
| 1972021533 | Latara Mack | Counselor | Louisiana Support Services 3630 Macarthur Blvd, New Orleans, LA 70114 | 2017-09-05 |
| 1053837419 | Jemal Causey | Counselor | 1210 Belleville Street, New Orleans, LA 70114 | 2017-08-17 |
| 1528590320 | Brandon Christopher Shelly | Case Manager/Care Coordinator | 1110 Thayer St, New Orleans, LA 70114 | 2017-03-30 |
| 1639618820 | Livegood At Home Care Services LLC | In Home Supportive Care | 1048 Flanders Street, New Oreans, LA 70114 | 2017-02-21 |
| 1215472733 | Shannon Newell | Counselor | 1927 Flanders, New Orleans, LA 70114 | 2016-12-20 |
| 1285177899 | Shannon Delavallade | Case Manager/Care Coordinator | 1300 Evelina St, New Orleans, LA 70114 | 2016-11-30 |
| 1770026395 | Grant Burns Jr. | Counselor | 3520 General Degaulle Dr Ste 4070, New Orleans, LA 70114 | 2016-11-30 |
| Find all providers in zip 70114 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881014546 | Stacey L Giardina | Nurse Practitioner | 2703 General Degaulle Dr, New Orleans, LA 70114-6222 | 2014-04-21 |
| 1134555790 | Renata Weatherspoon | Nurse Practitioner | 9970 Lake Forest Blvd, Suite A, New Orleans, LA 70127-2609 | 2013-09-15 |
| 1578174686 | Tamara Lafont | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-08-12 |
| 1912517848 | Delise Marie Mckay | Nurse Practitioner | 5620 Read Blvd, New Orleans, LA 70127-3106 | 2020-08-05 |
| 1215599303 | Kristin Molina | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2019-06-28 |
| 1811478803 | Raedawn Tarnisha Mackey | Nurse Practitioner | 2221 Philip St, New Orleans, LA 70113-2525 | 2018-08-27 |
| 1972080505 | Elizabeth Catherine Gage | Nurse Practitioner | 3308 Tulane Ave, New Orleans, LA 70119-7100 | 2018-07-26 |
| 1689105298 | Hosea John Lafleur IIi | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2017-03-24 |
| 1669862280 | Brittany Tucker | Nurse Practitioner | 9970 Lake Forest Blvd, Suite A, New Orleans, LA 70127-2609 | 2015-02-03 |
| 1245646843 | Baton Rouge Behavioral Health LLC | Nurse Practitioner | 400 Poydras St, Suite 1950, New Orleans, LA 70130-3245 | 2014-07-03 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70114 |
Please comment or provide details below to improve the information on NOLA INNOVATIVE PSYCHIATRIC SERVICES, LLC.
| 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.