BREALON LIRETTE LLC (NPI# 1578046090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578046090 |
| Entity Type | Organization |
| Organization Name | BREALON LIRETTE LLC |
| Practice Address |
242 Woodwind Dr Houma LA 70360-3996 |
| Practice Telephone | 3376438424 |
| Practice Fax Number | 3376438407 |
| Mailing Telephone | 3376438424 |
| Mailing Fax Number | 3376438407 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | BREALON M LIRETTE (OWNER) |
| Authorized Official Telephone | 9858040678 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2456067 | 05 |
| Street Address |
242 WOODWIND DR |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-3996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417001355 | Josephine M Lagarde-sweeney | Registered Nurse | 106 Moss Ln, Houma, LA 70360-4080 | 2007-01-22 |
| 1598294043 | Stacy Harris Hymel | Registered Nurse | 420 Magnolia St, Houma, LA 70360-6304 | 2017-06-08 |
| 1437488871 | Bianchini-pellegrin | Registered Nurse | 8120 Main St, Ste 405, Houma, LA 70360-3403 | 2009-12-14 |
| 1366598229 | Kayla Lambert | Registered Nurse | 5599 Highway 311, Houma, LA 70360-2866 | 2007-01-25 |
| 1013061399 | Heather Palm | Registered Nurse | 5599 Highway 311, Houma, LA 70360-2866 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792870 | Davidra Kaba | Registered Nurse | 1612 Versailles Business Pkwy Apt 1305, Covington, LA 70433-6191 | 2020-08-28 |
| 1538784244 | Susan Folse Crochet | Registered Nurse | 204 N Terrebonne Dr, Gray, LA 70359-6402 | 2020-06-09 |
| 1700448677 | Nicole E Smith | Registered Nurse | 4000 Bienville St Ste G, New Orleans, LA 70119-5163 | 2019-07-01 |
| 1689142838 | Latoya Ford | Registered Nurse | 4310 Burdine St, Bossier City, LA 71111-5206 | 2018-11-06 |
| 1902313059 | Shawana Nealy | Registered Nurse | 3340 Severn Ave Ste 220, Metairie, LA 70002-7402 | 2018-01-10 |
| 1083135057 | Joan Marie Ibos | Registered Nurse | 20153 Palm Blvd, Covington, LA 70435-6453 | 2017-06-29 |
| 1467996058 | Karen Bowie Johnson | Registered Nurse | 6425 Taylor Oaks, Alexandria, LA 71301 | 2016-12-15 |
| 1043672504 | Stephanie Shirey | Registered Nurse | 116 Haymarket Ct, Bossier City, LA 71111-8228 | 2016-03-24 |
| 1588989230 | Katherine Hicks Little | Registered Nurse | 246 Marie Rd, Church Point, LA 70525-7001 | 2010-04-06 |
| 1689803306 | Veronica A Griffin | Registered Nurse | 1226 S. Clearview Parkway, 1226 S. Clearview Parkway, Jefferson, LA 70123 | 2009-07-02 |
| 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.