TYLER PETTIGREW (NPI# 1427583475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427583475 |
| Entity Type | Individual |
| Full Name | TYLER PETTIGREW |
| Practice Address |
300 Plantation Rd. Apt #24 Thibodaux LA 70301 |
| Mailing Address |
300 Plantation Rd Apt #24 Thibodaux LA 70301-4467 |
| Practice Telephone | 5044050694 |
| Mailing Telephone | 5044050694 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
300 PLANTATION RD. APT #24 |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| 1669928990 | Audubon Home Health of New Orleans Inc | Home Health | 110 Green Street, Suite 1a, Thibodaux, LA 70301 | 2016-08-28 |
| Find all providers in zip 70301 | ||||
| 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 |
|---|---|---|---|---|
| 1003471673 | Joshonda Robertson | Counselor | 2528 Talbot Ave, Thibodaux, LA 70301-9025 | 2019-05-08 |
| 1134574866 | Matthew Farrell | Counselor | 119 Leighton Dr Apt D, Thibodaux, LA 70301-8435 | 2016-05-02 |
| 1104297423 | Dawn Grazier Chadwick, Strategic Interventions, LLC | Counselor | 411 Cedar Tree Dr, Thibodaux, LA 70301-5728 | 2015-10-13 |
| 1124421128 | Angela Alexander | Counselor | 129 Rosedown Dr, Thibodaux, LA 70301-2993 | 2014-10-03 |
| 1447414792 | Bridget Loland | Counselor | 102 W 2nd St, Thibodaux, LA 70301-3004 | 2008-07-16 |
| 1306012257 | Dawn G. Chadwick | Counselor | 206 Green St, Suite 203, Thibodaux, LA 70301-3034 | 2008-05-01 |
| 1659989358 | Amber B Hughes | Counselor | 504 Cherry St, Thibodaux, LA 70301-2204 | 2020-07-19 |
| 1437445954 | Jaret Hubbell | Counselor | 206 Green St, 206, Thibodaux, LA 70301-3034 | 2011-06-23 |
| 1841430634 | Clarissa Lawson | Counselor | 201 Cedar St, Thibodaux, LA 70302 | 2009-03-06 |
| 1093905275 | Brandi L Jones | Counselor | 303 Hickory St, Thibodaux, LA 70301-2011 | 2007-07-25 |
| Find all providers in THIBODAUX | ||||
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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.