SHANTRECE COLE (NPI# 1992278535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992278535 |
| Entity Type | Individual |
| Full Name | SHANTRECE COLE |
| Credential | MASTERS |
| Practice Address |
220 W Louisiana Ave Vivian LA 71082-2820 |
| Practice Telephone | 3183752780 |
| Practice Fax Number | 3183752781 |
| Mailing Telephone | 3183752780 |
| Mailing Fax Number | 3183752781 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| 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 |
220 W LOUISIANA AVE |
| City | VIVIAN |
| State | LA |
| Zip Code | 71082-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225542178 | Wright Way Behavioral Health Center | Community/Behavioral Health | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2017-11-29 |
| 1689200255 | Richida Shepard | Social Worker | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2020-03-16 |
| 1659843381 | Myrna Quarles | Counselor | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2018-12-19 |
| 1720550452 | Patrick Gladney | Counselor | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2018-12-19 |
| 1851863583 | Tunisia Hampton | Counselor | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295207801 | Terrence Quarles | Counselor | 200 West Louisiana Ave, Vivian, LA 71082 | 2018-12-20 |
| 1083158877 | Lenorris Rainey | Counselor | 301 Edward Drive, Vivian, LA 71082 | 2016-12-13 |
| 1720213614 | Constance La'shay Hall | Occupational Therapy Assistant | 912 South Pecan St, Vivian Healthcare Center, Vivian, LA 71082 | 2009-05-20 |
| 1124155411 | North Caddo Medical Center Healthplex | Public Health or Welfare | 102 Industrial Drive, Vivian, LA 71082 | 2007-02-27 |
| 1023493160 | Catherine Sharpe | Family Medicine | 815 S Pine St, Vivian, LA 71082 | 2015-07-29 |
| 1699286138 | Natarran C Evans | Counselor | 830 Nw Front St, Vivian, LA 71082-2312 | 2017-10-23 |
| 1447614532 | Lauretta Montgomery | Counselor | 904 Mississippi Cir, Vivian, LA 71082-2552 | 2016-04-05 |
| 1194882829 | James R Mccormick | Dentist | 117 N Pine St, Vivian, LA 71082-2743 | 2007-01-02 |
| 1285710236 | North Caddo Drug | Pharmacist | 144 W Louisiana Avenue, Vivian, LA 71082-2836 | 2006-10-31 |
| 1750587622 | Don Addie Caddo Optical | Technician/Technologist | 101 E Louisiana Ave, Vivian, LA 71082-2923 | 2007-06-26 |
| Find all providers in zip 71082 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282952 | Mark Wendell | Counselor | 13838 Boyter Ln, Vivian, LA 71082-9788 | 2019-12-14 |
| 1295207801 | Terrence Quarles | Counselor | 200 West Louisiana Ave, Vivian, LA 71082 | 2018-12-20 |
| 1588178446 | Valeria Ruth Shepard | Counselor | 1028 S Pine St Ste C, Vivian, LA 71082-3623 | 2017-11-29 |
| 1699286138 | Natarran C Evans | Counselor | 830 Nw Front St, Vivian, LA 71082-2312 | 2017-10-23 |
| 1083158877 | Lenorris Rainey | Counselor | 301 Edward Drive, Vivian, LA 71082 | 2016-12-13 |
| 1447614532 | Lauretta Montgomery | Counselor | 904 Mississippi Cir, Vivian, LA 71082-2552 | 2016-04-05 |
| 1659843381 | Myrna Quarles | Counselor | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2018-12-19 |
| 1720550452 | Patrick Gladney | Counselor | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2018-12-19 |
| 1851863583 | Tunisia Hampton | Counselor | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2018-12-19 |
| 1558848903 | Laquita Young | Counselor | 1028 S Pine St Ste C, Vivian, LA 71082-3623 | 2018-07-27 |
| Find all providers in VIVIAN | ||||
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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.