MS. SUSAN MAYES VINING (NPI# 1316380983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316380983 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MAYES VINING |
| Credential | LPC |
| Practice Address |
2285 Benton Rd Ste D201 Bossier City LA 71111 |
| Mailing Address |
2285 Benton Rd Ste D201 Bossier City LA 71111-3469 |
| Practice Telephone | 3182992334 |
| Mailing Telephone | 3182992334 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4002 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1504 Barksdale Blvd, Bossier City, LA 711114602 | 3182224299 | 3184252696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801094727 | Susan Patricia Vining | Audiologist | 200 Health Center Building, Bowling Green State University, Bowling Green, OH 43403-0149 | 2007-07-03 |
| 1932235538 | Susan Logue Vining | Registered Nurse | 1216 Trotwood Ave, Columbia, TN 38401-6406 | 2007-02-26 |
| Street Address |
2285 BENTON RD STE D201 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861899387 | Shelia Autry | Counselor | 2285 Benton Rd Ste D201, Bossier City, LA 71111-3469 | 2014-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030856 | Robin Hall | Counselor | 3111 Trinity Dr, Bossier City, LA 71111-8109 | 2018-07-27 |
| 1306356803 | Kimberly Sue Powell | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2017-10-10 |
| 1619429297 | Chantal Player-young | Counselor | 5151 Tara Ln, Bossier City, LA 71111-7810 | 2016-10-28 |
| 1407308364 | Jodie Elaine Goens | Counselor | 2223 Old Minden Rd, Suite A2, Bossier City, LA 71112-2303 | 2016-10-26 |
| 1558714170 | Courtney Santos | Counselor | 2285 Benton Rd # Gop103, Bossier City, LA 71111-7933 | 2016-07-19 |
| 1033572672 | Bossier Family Counseling, LLC | Counselor | 1000 Chinaberry Dr Ste 203, Bossier City, LA 71111-2461 | 2016-03-31 |
| 1528432002 | Duane Williams | Counselor | 4915 General Sterling Price Pl, Bossier City, LA 71112-4761 | 2015-11-20 |
| 1922489418 | Michelle Lafitte | Counselor | 2940 Le Oaks Dr, 1709, Bossier City, LA 71111-7821 | 2015-06-10 |
| 1407233505 | Tarkisha Wallace | Counselor | 1000 Chinaberry Dr Ste 902, Bossier City, LA 71111-2455 | 2015-04-28 |
| 1205252954 | Fuller Counseling Services LLC | Counselor | 2285 Benton Rd Ste 107gop, Bossier City, LA 71111-7933 | 2014-03-05 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on MS. SUSAN MAYES VINING.
| 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.