MS. JACQUELINE YVONNE MANWARING (NPI# 1245270768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245270768 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE YVONNE MANWARING |
| Credential | RSW,MA,LPC,LMFT,NCC |
| Practice Address |
2620 Centenary Blvd Suite306 Shreveport LA 71104-3356 |
| Practice Telephone | 3186763332 |
| Practice Fax Number | 3186763335 |
| Mailing Telephone | 3186763332 |
| Mailing Fax Number | 3186763335 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 88025 | MD | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
2913 | LA | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | 6633 | LA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 857 | LA | Behavioral Health & Social Service Providers |
| Street Address |
2620 CENTENARY BLVD SUITE306 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578071932 | Labrisha Denise Greene | Counselor | 2620 Centenary Blvd, Shreveport, LA 71104-3356 | 2018-01-18 |
| 1972039410 | Jamaal Stephens | Case Manager/Care Coordinator | 2620 Centenary Blvd, Suite 207, Shreveport, LA 71104-3356 | 2017-05-03 |
| 1265965768 | Fekei Michelle Loveless | Counselor | 2620 Centenary Blvd, Shreveport, LA 71104-3356 | 2017-04-11 |
| 1306398631 | Family First Care Services LLC | Home Health | 2620 Centenary Blvd, Building 3 Suite 174, Shreveport, LA 71104-3356 | 2016-11-03 |
| 1154775260 | Katlin Willey | Counselor | 2620 Centenary Blvd, 312, Shreveport, LA 71104-3356 | 2016-04-15 |
| 1134589302 | Fredrick Pinkney | Case Manager/Care Coordinator | 2620 Centenary Blvd, Building 3 Ste M2, Shreveport, LA 71104 | 2016-03-02 |
| 1972977254 | Felecia R Fox | Case Manager/Care Coordinator | 2620 Centenary Blvd, Shreveport, LA 71104 | 2015-11-24 |
| 1093188336 | Reginald Goree | Behavioral Analyst | 2620 Centenary Blvd, Shreveport, LA 71104-3356 | 2015-11-09 |
| 1700259025 | Essie Holt | Counselor | 2620 Centenary Blvd, Building 3 Ste 312, Shreveport, LA 71104-3356 | 2015-11-09 |
| 1043683386 | Christina Danielle Stafford | Counselor | 2620 Centenary Blvd, Shreveport, LA 71104-3356 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020479 | Whites All Star Consultant | Counselor | 631 E 85th St, Shreveport, LA 71106-5819 | 2020-07-10 |
| 1063046381 | Sharon H Harris | Counselor | 4420 Fairway Dr, Shreveport, LA 71109-4002 | 2020-02-25 |
| 1316422785 | Valencia Sims | Counselor | 6143 Buncombe Rd, Shreveport, LA 71129-4109 | 2018-10-01 |
| 1467954909 | Staughton Jennings | Counselor | 8501 Millicent Way Apt 1085, Shreveport, LA 71115-2231 | 2018-02-28 |
| 1790283638 | Brookys Haven | Counselor | 217 Jones St, Shreveport, LA 71101-4021 | 2018-01-25 |
| 1356859680 | Keshunna Goode | Counselor | 6308 Border Ln, Shreveport, LA 71119-7204 | 2018-01-22 |
| 1407364409 | Kelly Jane Casey | Counselor | 2620 Centenary Blvd Ste 207, Shreveport, LA 71104-3350 | 2018-01-12 |
| 1932619442 | Mark Bolding | Counselor | 8021 Fairfield Ave, Shreveport, LA 71106-5627 | 2017-10-10 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619493830 | Amri A Warren | Counselor | 2403 Helmsdale Ct, Shreveport, LA 71118-4546 | 2017-08-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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| 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.