DONNA LEDET-WILLIS (NPI# 1467992750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467992750 |
| Entity Type | Individual |
| Full Name | DONNA LEDET-WILLIS |
| Practice Address |
4335 Atlantic Ave Long Beach CA 90807-2803 |
| Mailing Address |
11514 Elvins St Lakewood CA 90715-1218 |
| Practice Telephone | 5222164900 |
| Practice Fax Number | 5264161516 |
| Mailing Telephone | 5622255900 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
VN189282 | CA | Ambulatory Health Care Facilities |
| Street Address |
4335 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700928470 | Mariela Rosina Gorosito | Psychologist | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2007-02-12 |
| 1285248377 | Ray Tse | Student in an Organized Health Care Education/Training Program | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2020-09-04 |
| 1144847583 | Anaise Oliva Nunez | Case Manager/Care Coordinator | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2020-07-01 |
| 1205469053 | Vania Baruch | Social Worker | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2020-02-20 |
| 1215567631 | Shannon Kathleen Hass | Case Manager/Care Coordinator | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2020-01-24 |
| 1851939656 | Kristi Lynne Gedris | Case Manager/Care Coordinator | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2019-12-12 |
| 1205487246 | Maria Piccirilli | Case Manager/Care Coordinator | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2019-09-20 |
| 1053969352 | Joshelyne Darlyne Payan | Case Manager/Care Coordinator | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2019-08-29 |
| 1821646225 | Julie Marie Rossi | Case Manager/Care Coordinator | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2019-08-28 |
| 1437704145 | Alison Leigh Mooney | Registered Nurse | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992012512 | Choices of Long Beach, Inc. | Clinic/Center | 774 Saint Louis Ave, Long Beach, CA 90804-4557 | 2010-09-02 |
| 1184930471 | Choices of Long Beach, Inc. | Clinic/Center | 556 Nebraska Ave, Unit A, Long Beach, CA 90802-1823 | 2010-08-24 |
| 1437358520 | Psychshield Corporation | Clinic/Center | 4000 Long Beach Blvd Ste 212, Long Beach, CA 90807-2617 | 2007-07-17 |
| 1881233575 | Beach Side Counseling Pllc | Clinic/Center | 811 Pacific Ave S Ste 7, Long Beach, WA 98631-3544 | 2019-12-30 |
| 1881064715 | Wellness Psychiatry High Impact Therapy | Clinic/Center | 3505 Long Beach Blvd, Suite 2d, Long Beach, CA 90807-3907 | 2015-10-05 |
| 1720395346 | Choices of Long Beach, Inc. | Clinic/Center | 556 Nebraska Ave, Unit B, Long Beach, CA 90802-1823 | 2010-09-02 |
| 1487863221 | Special Service for Groups | Clinic/Center | 3530 Atlantic Ave, Suite 210, Long Beach, CA 90807-4569 | 2007-05-21 |
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| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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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.