MARANDA BOLDEN (NPI# 1659828960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659828960 |
| Entity Type | Individual |
| Full Name | MARANDA BOLDEN |
| Practice Address |
4906 Merlin Circle Apt 4906 Shreveport LA 71108 |
| Mailing Address |
4906 Merlin Cir Shreveport LA 71107-4526 |
| Practice Telephone | 6822769850 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
4906 MERLIN CIRCLE APT 4906 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551140 | Berkelia Player | Case Manager/Care Coordinator | 8108 Kingston Road Suite 101 B, Shreveport, LA 71108 | 2018-06-08 |
| 1548757305 | Kenya Cawthorne | Counselor | 1520 Oakdale St, Shreveport, LA 71108 | 2018-04-17 |
| 1083112890 | Chantanell Johns | Case Manager/Care Coordinator | 8101 Kingston Rd Ste 101b, Shreveport, LA 71108 | 2018-01-26 |
| 1912425935 | Mildred Rivers | Case Manager/Care Coordinator | 4718 Hearne Ave, Shreveport, LA 71108 | 2017-08-30 |
| 1790205326 | Britney Ashton | Case Manager/Care Coordinator | 1910 Hickory St, Shreveport, LA 71108 | 2017-06-24 |
| 1548792674 | La'travia Jackson | Case Manager/Care Coordinator | 3430 Fernwood Ln, Shreveport, LA 71108 | 2017-03-29 |
| 1962941476 | Johnetta Marshall | Counselor | 6901 Despot Rd, Shreveport, LA 71108 | 2017-02-16 |
| 1295283992 | Shaun Cooper | Case Manager/Care Coordinator | 8824 Ruth Ave, Shreveport, LA 71108 | 2016-09-12 |
| 1508313735 | Tara Black | Counselor | 7019 Louise St, Shreveport, LA 71108 | 2016-09-06 |
| 1770039364 | Calvin Scott | Counselor | 2605 Betty Street, Shreveport, LA 71108 | 2016-09-01 |
| Find all providers in zip 71108 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020479 | Whites All Star Consultant | Counselor | 631 E 85th St, Shreveport, LA 71106-5819 | 2020-07-10 |
| 1063046381 | Sharon H Harris | Counselor | 4420 Fairway Dr, Shreveport, LA 71109-4002 | 2020-02-25 |
| 1316422785 | Valencia Sims | Counselor | 6143 Buncombe Rd, Shreveport, LA 71129-4109 | 2018-10-01 |
| 1467954909 | Staughton Jennings | Counselor | 8501 Millicent Way Apt 1085, Shreveport, LA 71115-2231 | 2018-02-28 |
| 1790283638 | Brookys Haven | Counselor | 217 Jones St, Shreveport, LA 71101-4021 | 2018-01-25 |
| 1356859680 | Keshunna Goode | Counselor | 6308 Border Ln, Shreveport, LA 71119-7204 | 2018-01-22 |
| 1407364409 | Kelly Jane Casey | Counselor | 2620 Centenary Blvd Ste 207, Shreveport, LA 71104-3350 | 2018-01-12 |
| 1932619442 | Mark Bolding | Counselor | 8021 Fairfield Ave, Shreveport, LA 71106-5627 | 2017-10-10 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619493830 | Amri A Warren | Counselor | 2403 Helmsdale Ct, Shreveport, LA 71118-4546 | 2017-08-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71108 |
Please comment or provide details below to improve the information on MARANDA BOLDEN.
| 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.