LATONZIA BEAVERS (NPI# 1629440300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629440300 |
| Entity Type | Individual |
| Full Name | LATONZIA BEAVERS |
| Practice Address |
3018 Old Minden Rd Ste 1117 Bossier City LA 71112-2497 |
| Practice Telephone | 3187461935 |
| Mailing Telephone | 3187461935 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3018 OLD MINDEN RD STE 1117 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71112-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790751642 | Connie Hale | Psychiatry & Neurology | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2006-02-28 |
| 1649877184 | Valarie Smith | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-10-07 |
| 1811594336 | Jesse Dalton | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-10-07 |
| 1851905244 | Susan Mclean | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-09-02 |
| 1952910523 | Jeffery Chatman | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1942819537 | Alexia Gistard | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1043829633 | Mary Manuel | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1487278271 | Rachel Alvarez | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-08 |
| 1184248247 | Karasha Harris | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-04 |
| 1104440262 | Reginald Smith | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810349 | Brittany Ariel Boone | Case Manager/Care Coordinator | 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 | 2018-05-03 |
| 1396254520 | Abartllc | Non-emergency Medical Transport (VAN) | 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 | 2017-09-19 |
| 1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
| 1851818009 | Latonya Renee' Williams | Case Manager/Care Coordinator | 5383 Bluebell Dr, Bossier City, LA 71112 | 2017-08-28 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1861925240 | Kyanna Williams Cosby | Counselor | 4009 Parkway Dr, Bossier City, LA 71112 | 2017-04-04 |
| 1962858191 | Jemeel Latrice Webb | Case Manager/Care Coordinator | 1787 Southview Drive, Bossier City, LA 71112 | 2016-05-06 |
| 1174986244 | Jaquitua Russell | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 | 2016-04-05 |
| 1528423175 | Deanna Lorraine Edwards | Contractor | 4007 Parkway Dr, Bossier City, LA 71112 | 2015-12-28 |
| 1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
| Find all providers in zip 71112 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215434 | Herdsysheia Lofton | Counselor | 2687 Village Ln Apt D7, Bossier City, LA 71112-2300 | 2020-01-31 |
| 1366099657 | Jacqueline Yvette Winston | Counselor | 90 Kingston Xing Apt 2304, Bossier City, LA 71111-6294 | 2019-08-21 |
| 1053977348 | Life Restore Counseling & Training, LLC | Counselor | 2223 Old Minden Rd Ste C3, Bossier City, LA 71112-2303 | 2019-05-13 |
| 1356807200 | Roderick Lavelle Harris Jr. | Counselor | 2704 Shed Rd Apt 234e, Bossier City, LA 71111-3036 | 2019-02-15 |
| 1891272555 | Nastashia Gay | Counselor | 1519 Viosca St, Bossier City, LA 71111-3645 | 2018-07-25 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1376046052 | Zemerian Wigenton | Counselor | 1816 Ray Ave, Bossier City, LA 71112-4136 | 2018-03-09 |
| 1659889996 | Nevada Marie Gaines | Counselor | 4000 Airline Dr, Bossier City, LA 71111 | 2018-01-22 |
| 1548777576 | Eumarcus Hicks | Counselor | 6022 Applegate Cir, Bossier City, LA 71111-5671 | 2017-12-28 |
| 1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71112 |
Please comment or provide details below to improve the information on LATONZIA BEAVERS.
| 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.