LAGRETTA HAWTHORNE (NPI# 1477064111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477064111 |
| Entity Type | Individual |
| Full Name | LAGRETTA HAWTHORNE |
| Practice Address |
7607 Fern Ave Shreveport LA 71105-5739 |
| Mailing Address |
Po Box 349 Stonewall LA 71078-0349 |
| Practice Telephone | 3185249954 |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 172V00000X | Community Health Worker | LA | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 3182212828 |
| Street Address |
7607 FERN AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255668034 | Laura Anne Davis | Counselor | 7607 Fern Ave, Suite 202, Shreveport, LA 71105-5739 | 2009-11-16 |
| 1720612344 | Kelly L Rouse | Behavioral Analyst | 7607 Fern Ave, Suite 403, Shreveport, LA 71105-5699 | 2020-02-24 |
| 1184267106 | Rachael Claire Higginbotham | Behavioral Analyst | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2019-10-22 |
| 1407409519 | Mariah Bertrand | Behavioral Analyst | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2019-07-17 |
| 1609439298 | Kayla Alexa Dupras | Behavior Technician | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2019-04-18 |
| 1285297226 | Abby Marie Fair | Behavior Technician | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2019-04-16 |
| 1871075572 | Cayla Flynn | Behavior Technician | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2018-08-30 |
| 1497237192 | Cynthia Peters | Behavior Technician | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2018-08-30 |
| 1922537869 | Marquis Hall | Case Manager/Care Coordinator | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2017-06-05 |
| 1457708307 | Kristi Parker | Case Manager/Care Coordinator | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2016-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on LAGRETTA HAWTHORNE.
| 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.