KINGDOM EXPRESSIONS LLC (NPI# 1346785367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346785367 |
| Entity Type | Organization |
| Organization Name | KINGDOM EXPRESSIONS LLC |
| Practice Address |
1639 Ryan St Ste B Lake Charles LA 70601-5948 |
| Practice Telephone | 8888594202 |
| Mailing Telephone | 8888594202 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | MRS. SHAKERA LEILANI MCKENZIE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3375089023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1639 RYAN ST STE B |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057608 | Saint Raphael's Refuge, LLC | Community/Behavioral Health | 1155 Hodges St, Lake Charles, LA 70601-5215 | 2017-04-11 |
| 1952844060 | Allyson Warshaw, Lcsw LLC | Community/Behavioral Health | 4045 Ernest Street, Lake Charles, LA 70605-3421 | 2016-11-21 |
| 1659723450 | Ml Williams LLC | Community/Behavioral Health | 900 Ryan St, Suite 405, Lake Charles, LA 70601-9401 | 2016-07-06 |
| 1356706782 | Louisiana United Methodist Children and Family Services, Inc. | Community/Behavioral Health | 3501 Patrick St., Lake Charles, LA 70605 | 2015-12-30 |
| 1215349816 | Lasting Impression Therapeutic Counseling Center, LLC | Community/Behavioral Health | 2805 5th Ave, Lake Charles, LA 70601-7913 | 2014-05-30 |
| 1871867887 | Merakey Pennsylvania | Community/Behavioral Health | 2110 Oak Park Blvd, Lake Charles, LA 70601-7864 | 2012-03-08 |
| 1164796033 | Matthew 2540 Corporation | Community/Behavioral Health | 1414 Martha St, Lake Charles, LA 70601-2440 | 2012-02-24 |
| 1477845923 | Journey Outreach, LLC | Community/Behavioral Health | 504 Julius St, Lake Charles, LA 70605-2732 | 2011-05-03 |
| 1851616262 | Mcneese State University | Community/Behavioral Health | 4205 Ryan Street, Lake Charles, LA 70609 | 2010-03-30 |
| 1154557726 | Lake Area Neuropsychology Associates Inc | Community/Behavioral Health | 803 W Bayou Pines Dr Ste F, Lake Charles, LA 70601-7096 | 2009-06-09 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on KINGDOM EXPRESSIONS 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.