MS. TALLACE MADINA (NPI# 1194109355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194109355 |
| Entity Type | Individual |
| Full Name | MS. TALLACE MADINA |
| Credential | LPC, NCC |
| Practice Address |
3520 General Degaulle Dr New Orleans LA 70114-6757 |
| Mailing Address |
Po Box 7262 Belle Chasse LA 70037-7262 |
| Practice Telephone | 5049065457 |
| Mailing Telephone | 5049065457 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5548 | LA | Behavioral Health & Social Service Providers |
| Street Address |
3520 GENERAL DEGAULLE DR |
| 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 |
| 1144673765 | Nola Innovative Psychiatric Services, LLC | Nurse Practitioner | 3520 General Degaulle Dr, Ste 4098, New Orleans, LA 70114-6757 | 2016-07-19 |
| 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 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881020 | Grey Matter Concepts,inc. | Counselor | 5514 Music St., New Orleans, LA 70122 | 2020-08-11 |
| 1497386007 | Melanie L Oneill | Counselor | 3525 Prytania St Ste 512, New Orleans, LA 70115-8115 | 2020-02-01 |
| 1730746082 | Jacqueline Scott Edmond | Counselor | 13541 Trappers Ct, New Orleans, LA 70129-2804 | 2019-05-22 |
| 1215592571 | Laura M Hernandez | Counselor | 6270 Canal Blvd., New Orleans, LA 70124 | 2019-05-02 |
| 1275004939 | Suzette Perles Therapy Services LLC | Counselor | 1050 S Jefferson Davis Pkwy Ste 231, New Orleans, LA 70125-1234 | 2018-12-06 |
| 1760950760 | F W Joseph and Associates | Counselor | 1050 S Jefferson Davis Pkwy Ste 236, New Orleans, LA 70125-1200 | 2018-11-07 |
| 1326514217 | Benjamin Robert Smith | Counselor | 4509 Duplessis St, New Orleans, LA 70122-7600 | 2018-10-17 |
| 1144707936 | Brandon Ganucheau | Counselor | 2700 S Broad St, New Orleans, LA 70125-1953 | 2018-07-24 |
| 1720591456 | Clear Directions Counseling and Consulting, LLC | Counselor | 4480 General Degaulle Dr Ste 221, New Orleans, LA 70131-6306 | 2017-11-16 |
| 1205346988 | Dawn Chiappetta | Counselor | 4919 Canal St Ste 204, New Orleans, LA 70119-5847 | 2017-10-06 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70114 |
Please comment or provide details below to improve the information on MS. TALLACE MADINA.
| 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.