MR. BRYAN RUCKER (NPI# 1659904191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659904191 |
| Entity Type | Individual |
| Full Name | MR. BRYAN RUCKER |
| Practice Address |
2321 Highway 80 E Monroe LA 71203-9366 |
| Practice Telephone | 3186003333 |
| Mailing Telephone | 3186003333 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4131 | LA | Behavioral Health & Social Service Providers |
| Street Address |
2321 HIGHWAY 80 E |
| City | MONROE |
| State | LA |
| Zip Code | 71203-9366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104282169 | Joshua Johnson | Counselor | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2016-01-06 |
| 1073125696 | Jacqueline White | Counselor | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2020-08-17 |
| 1255966636 | Tiffany St.john | Counselor | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2020-03-06 |
| 1699309450 | Krystine R Albert | Counselor | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2020-03-02 |
| 1043843360 | Holly Dupree | Counselor | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2020-02-14 |
| 1215560743 | Tammie D Colvin | Counselor | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2020-02-12 |
| 1295367704 | James Stuart Mullins | Counselor | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2020-02-12 |
| 1760987200 | Kelsey Littleton | Nurse Practitioner | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2018-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558842583 | Breathe Resources | Counselor | 921 Skywatch Ln, Monroe, NC 28112-7729 | 2018-08-28 |
| 1912426057 | Gregory Greer | Counselor | 208 Cole Ave Ste 6, Monroe, LA 71203-3814 | 2017-09-10 |
| 1851830202 | Jessica Partridge | Counselor | 3010 Amber Ct, Monroe, GA 30655-5870 | 2017-02-17 |
| 1053859587 | Christina Vitela Duarte | Counselor | 14090 Fryelands Blvd Se Ste 327, Monroe, WA 98272-2693 | 2017-02-03 |
| 1316484868 | Aimwell Center LLC | Counselor | 1106 Stubbs Avenue, Suite B, Monroe, LA 71201 | 2017-01-23 |
| 1477901031 | Shecorbia Turner | Counselor | 1401 Hudson Ln Ste 202, Monroe, LA 71201-6032 | 2016-05-24 |
| 1316304041 | Marcelette Joyner | Counselor | 109 N Hayne St, Monroe, NC 28112-4883 | 2016-01-26 |
| 1104282169 | Joshua Johnson | Counselor | 2321 Highway 80 E, Monroe, LA 71203-9366 | 2016-01-06 |
| 1366807125 | Luan Valz | Counselor | 38 Round Lake Ave, Monroe, NY 10950-1416 | 2015-12-22 |
| 1346610334 | Cathy Willis | Counselor | 186 Country Club Blvd, Monroe, LA 71202-7315 | 2015-10-02 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on MR. BRYAN RUCKER.
| 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.