CONCIERGE MASSAGE THERAPY, LLC (NPI# 1558894121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558894121 |
| Entity Type | Organization |
| Organization Name | CONCIERGE MASSAGE THERAPY, LLC |
| Practice Address |
1402 S Magnolia St D Hammond LA 70403-5020 |
| Practice Telephone | 9856620991 |
| Practice Fax Number | 9856620976 |
| Mailing Telephone | 9856620991 |
| Mailing Fax Number | 9856620976 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | WILLIAM EARL PASSMAN JR. (OWNER) |
| Authorized Official Telephone | 9856620991 |
| Authorized Official Credential | LMT, MMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | E3591 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1402 S MAGNOLIA ST D |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205124310 | Letarsha Roulette Campbell | Nurse Practitioner | 1402 S Magnolia St, Suite A, Hammond, LA 70403-5020 | 2011-07-11 |
| 1942706411 | Delasta Jamir May | Behavioral Analyst | 1402 S Magnolia St, Hammond, LA 70403-5020 | 2018-04-03 |
| 1881127660 | William Earl Passman Jr. | Massage Therapist | 1402 S Magnolia St, Suite D, Hammond, LA 70403-5020 | 2017-04-07 |
| 1902295017 | Shandra Tre'nise Thomas | Nurse Practitioner | 1402 S Magnolia St, Suite A, Hammond, LA 70403-5020 | 2015-01-13 |
| 1588088587 | Akrivis Laboratories LLC | Clinical Medical Laboratory | 1402 S Magnolia St, Unit H, Hammond, LA 70403-5020 | 2014-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316853 | Tanika Scott | Massage Therapist | 914 Field St, Hammond, IN 46320-2536 | 2020-11-06 |
| 1881190858 | Cecilia Mcmullen | Massage Therapist | 19184 Dr John Lambert Dr Ste 105, Hammond, LA 70403-0936 | 2018-03-30 |
| 1851846968 | Fayola Trineice Wilson | Massage Therapist | 906 Fagan Drive, Unit 6-b, Hammond, LA 70403-5807 | 2016-08-18 |
| 1306248265 | Somiya Thomas | Massage Therapist | 41601 Veterans Ave, Hammond, LA 70403-1444 | 2014-09-23 |
| 1881127660 | William Earl Passman Jr. | Massage Therapist | 1402 S Magnolia St, Suite D, Hammond, LA 70403-5020 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112942 | Marc Cadow | Massage Therapist | 1041 Carrollton Ave Apt E, Metairie, LA 70005-2355 | 2020-10-22 |
| 1780283085 | Jennifer Greenup | Massage Therapist | 9270 Siegen Ln Bldg 602, Baton Rouge, LA 70810-0935 | 2020-10-19 |
| 1558968859 | Lydia Gilchrist | Massage Therapist | 2436 Bristol Pl, New Orleans, LA 70131-3712 | 2020-10-08 |
| 1922615111 | Juloni A Rodriguez | Massage Therapist | 1221 Arcadia Dr, Baton Rouge, LA 70810-2641 | 2020-09-30 |
| 1861009003 | Toral Patel | Massage Therapist | 232 S Market St, Opelousas, LA 70570-5167 | 2020-09-30 |
| 1760099543 | Ryan Palliser | Massage Therapist | 3925 Ford St, Metairie, LA 70002-6882 | 2020-09-25 |
| 1841807906 | 12 Hour Massage 2 LLC | Massage Therapist | 3113 Ryan St Ste 6, Lake Charles, LA 70601-8587 | 2020-09-23 |
| 1669088118 | Jenna Margaret Winslow | Massage Therapist | 1121 9th St Apt F, New Orleans, LA 70115-2339 | 2020-09-21 |
| 1538775895 | Maylin C Diaz | Massage Therapist | 2901 Wytchwood Dr, Metairie, LA 70003-4551 | 2020-09-21 |
| 1023622263 | Lakeisha Cravin | Massage Therapist | 13755 River Rd Ste C, Luling, LA 70070-4377 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.