JUAN MANUEL GOMEZ


Address: 510 East Stoner Ave, Shreveport, LA 71101-4295
Phone: 3182218411

JUAN MANUEL GOMEZ (NPI# 1962506550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962506550
Entity Type Individual
Full Name JUAN MANUEL GOMEZ
Practice Address 510 East Stoner Ave
Shreveport
LA 71101-4295
Mailing Address 102 Lakewood Pt
Bossier City
LA 71111-2000
Practice Telephone 3182218411
Mailing Telephone 3187423077
Enumeration Date 2006-09-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers JUAN GOMEZ

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1871853960 Juan Angel Gomez Specialist/Technologist, Other 215 Saint Jude Dr, Laredo, TX 78041-9100 2012-05-22
1730315946 Juan A Gomez Contractor 1575 Allerton Ave, Bronx, NY 10469-6132 2009-06-02
1235394370 Juan Jose Gomez Speech-Language Pathologist 3013 Fir Ave, Mcallen, TX 78501-8024 2008-07-28
1578553079 Juan R Gomez Internal Medicine Urb Villa Hilda, Calle 1 A5, Yabucoa, PR 00767 2005-10-26
1730723727 Juan Gomez Social Worker 4217 Sw 64th Ave Ste 1, Davie, FL 33314-3446 2019-11-01
1962045690 Juan Carlos Gomez Case Manager/Care Coordinator 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 2019-10-25
1346890506 Juan Ignacio Gomez Case Manager/Care Coordinator 1350 3rd St, La Verne, CA 91750-5299 2019-09-18
1760942015 Juan Pablo Gomez Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2019-03-22

Office Location

Street Address 510 EAST STONER AVE
City SHREVEPORT
State LA
Zip Code 71101-4295

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467566539 Amy Sun Dentist 510 East Stoner Ave, Dental Services, Shreveport, LA 71101-4295 2006-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255988630 Renee Jewitt Case Manager/Care Coordinator 1513 Line Avenue, Suite 225, Shreveport, LA 71101 2019-08-21
1942770094 Bessie Larry Case Manager/Care Coordinator 1513 Line Av, 222, Shreveport, LA 71101 2018-12-03
1750875944 Jarvis Decarleonne Larry Community Health Worker 1513 Line Ave # 222, Shreveport, LA 71101 2018-06-20
1871083485 Kimberly B. Mcclelland, Lcsw Counselor 820 Jordan St. Ste 510w, Shreveport, LA 71101 2018-05-18
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1528572955 Spencer Ron Floyd Counselor 1717 Marshall Street, Shreveport, LA 71101 2017-11-21
1578088076 Brittany Morris Case Manager/Care Coordinator 1835 Spring Street Annex Building, Shreveport, LA 71101 2017-08-07
1275058794 Diane Williams Case Manager/Care Coordinator 217 Jones St Apt 510, Shreveport, LA 71101 2017-08-04
1386195972 Jakeya Woodbury Counselor 453 Stoner Ave, Shreveport, LA 71101 2016-10-18
1922459643 Arlene Huling Counselor 449 Egan Street, Shreveport, LA 71101 2016-06-23
Find all providers in zip 71101

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942814389 Courtney Rayburn Counselor 9413 Prestonwood Dr, Shreveport, LA 71115-3733 2020-09-02
1669007951 Tamara 'tammy' Larck Counselor 1525 Fullilove Drive, Shreveport, LA 71111 2020-03-06
1518505601 Samantha Klingenberg Counselor 910 Pierremont Rd Ste 300, Shreveport, LA 71106-2056 2019-12-19
1740796655 Allison Borel Counselor 2020 E 70th St Ste 201, Shreveport, LA 71105 2017-12-15
1396255980 Christa Walker-williams Counselor 525 Crockett St, Shreveport, LA 71101-3601 2017-10-09
1174047856 Gregory H Gentry Counselor 363 Sandefur Dr, Shreveport, LA 71105-3245 2017-08-03
1538615067 Jesse Fallis Counselor New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 2016-08-25
1760762470 Jacqueline A. Danzell, Lcsw, LLC Counselor 910 Pierremont Rd Ste 410, Shreveport, LA 71106-2056 2011-08-25
1811291099 Barbara Marie Allen Counselor 5100 Pine Hill Rd, Shreveport, LA 71107-2604 2011-01-03
1063609782 Ross Githens Counselor 520 Olive St, Shreveport, LA 71104-2312 2007-09-26
Find all providers in SHREVEPORT

Competitor

Search similar providers

City SHREVEPORT
Zip Code 71101

Improve Information

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Dataset Information

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.

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