CORY WOODSON (NPI# 1174088660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174088660 |
| Entity Type | Individual |
| Full Name | CORY WOODSON |
| Credential | RAC |
| Practice Address |
13675 Coursey Blvd Apt 231 Baton Rouge LA 70817-1347 |
| Practice Telephone | 3186646395 |
| Mailing Telephone | 3186646395 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1632 | LA | Behavioral Health & Social Service Providers |
| Street Address |
13675 COURSEY BLVD APT 231 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416060 | Renovo Wellness, LLC | Counselor | 10771 Perkins Rd Ste C, Baton Rouge, LA 70810-1693 | 2020-04-17 |
| 1316573157 | Gregory Mitchell | Counselor | 9864 Big Bend Ave, Baton Rouge, LA 70814-4303 | 2020-03-12 |
| 1528614625 | Vital Transitions Behavioral Healthcare Inc. | Counselor | 4021 We Heck Ct Ste L1, Baton Rouge, LA 70816-0416 | 2019-08-14 |
| 1972164481 | Debra A Thomas | Counselor | 1231 Laurel St, Baton Rouge, LA 70802-4645 | 2019-06-25 |
| 1437719432 | Karla Rene Alexander | Counselor | 446 N 12th St, Baton Rouge, LA 70802-4613 | 2019-06-20 |
| 1831654532 | Whitley Marie Ladner | Counselor | 940 E Tom Stokes Ct, Baton Rouge, LA 70810-3175 | 2019-02-06 |
| 1407326085 | Rosalyn N Davis | Counselor | 216 S. Foster, Baton Rouge, LA 70806 | 2018-11-27 |
| 1629548276 | Darcy Marie Anderson | Counselor | 216 South Foster Dr, Baton Rouge, LA 70806 | 2018-11-27 |
| 1316422280 | Sarah Louise Raines | Counselor | 918 Rossmore Ave, Baton Rouge, LA 70810-4675 | 2018-09-26 |
| 1174012447 | John T Buchmann Sr. | Counselor | 216 S Foster Dr, Baton Rouge, LA 70806-4103 | 2018-05-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
Please comment or provide details below to improve the information on CORY WOODSON.
| 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.