CORONDELETTE ROBERTSON (NPI# 1740728872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740728872 |
Entity Type | Individual |
Full Name | CORONDELETTE ROBERTSON |
Practice Address |
2156 Wooddale Blvd Ste. 100 Baton Rouge LA 70806-1403 |
Practice Telephone | 2259284040 |
Practice Fax Number | 2259284111 |
Mailing Telephone | 2259284040 |
Mailing Fax Number | 2259284111 |
Enumeration Date | 2017-02-09 |
Last Update Date | 2017-02-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
2156 WOODDALE BLVD STE. 100 |
City | BATON ROUGE |
State | LA |
Zip Code | 70806-1403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578517066 | Acceptance Physical Medicine & Rehabilitation Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 | 2006-05-20 |
1629617220 | Michelle Yvonne Davis | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-12-30 |
1124667712 | Gabrielle Roberson | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-12-30 |
1821641309 | Dejoneria Jackson | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-07-23 |
1306499033 | Nathandria Breedlove Bradley | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-07-22 |
1922506070 | Levida London | Social Worker | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2018-01-24 |
1720519119 | Ann Agbiak | Counselor | 2156 Wooddale Blvd, 100, Baton Rouge, LA 70806-1403 | 2017-03-27 |
1366980872 | Mechelle Keys | Counselor | 2156 Wooddale Blvd, Ste. 100, Baton Rouge, LA 70806-1403 | 2017-02-03 |
1790236586 | Holistic Behavioral Health Services of Louisiana | Case Management | 2156 Wooddale Blvd, Suite 750, Baton Rouge, LA 70806-1403 | 2016-10-17 |
1295288777 | Kellee M Matthews | Counselor | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2016-08-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
Find all providers in zip 70806 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578160024 | Benjamin Ng | Counselor | 8758 Field Dr, Baton Rouge, LA 70809-2903 | 2020-10-07 |
1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
1578181814 | Angela Nicole Vaughn | Counselor | 7464 Board Dr, Baton Rouge, LA 70817-5311 | 2020-07-13 |
1487270393 | Joanna Sheppard | Counselor | 331 Grandpre St, Baton Rouge, LA 70802-5919 | 2020-06-17 |
1417579012 | Cl's Counseling and Consulting Firm, LLC | Counselor | 13969 Windwood Dr, Baton Rouge, LA 70816-1887 | 2020-05-18 |
1043830938 | Andrea Frank | Counselor | 2506 Mcgrath Ave Apt 16, Baton Rouge, LA 70806-5434 | 2020-04-21 |
1881214666 | Shetamian Wilson | Counselor | 4336 North Blvd Ste 208, Baton Rouge, LA 70806-3920 | 2020-04-21 |
1679108740 | Gracefully Purposed Counseling & Consulting, LLC | Counselor | 8542 Siegen Ln Ste 6, Baton Rouge, LA 70810-1940 | 2020-03-09 |
1588227623 | Melanie E Salles | Counselor | 2718 Toulon Dr, Baton Rouge, LA 70816-5120 | 2019-04-15 |
1275091514 | A T.r.u.t.h. 180 Health Services of Louisiana, LLC | Counselor | 1254 Central Rd, Baton Rouge, LA 70807-3820 | 2019-03-06 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70806 |
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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.