JONAS MALIK ETIENNE (NPI# 1992285670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992285670 |
| Entity Type | Individual |
| Full Name | JONAS MALIK ETIENNE |
| Practice Address |
124 Abigayle Row Scott LA 70583-8909 |
| Practice Telephone | 3375042655 |
| Mailing Telephone | 3375042655 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
010641193 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | JE035 | 05 |
| Street Address |
124 ABIGAYLE ROW |
| City | SCOTT |
| State | LA |
| Zip Code | 70583-8909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992175897 | Carmen Guilbeaux | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2015-10-05 |
| 1558984948 | Tanzy M Rhines | Case Manager/Care Coordinator | 124 Abigayle Row, Scott, LA 70583-8909 | 2020-05-20 |
| 1194357699 | Tamara Legquan Charles | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2020-02-12 |
| 1518598200 | Rontaisha L Lewis | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2020-01-31 |
| 1649811738 | Brandie Johwan Gallien | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2019-10-01 |
| 1780234138 | Alexia Gallien | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2019-09-18 |
| 1184278921 | Nicole Diaul Beasley | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2019-07-30 |
| 1295217982 | Carola Jolivette | Case Manager/Care Coordinator | 124 Abigayle Row, Scott, LA 70583-8909 | 2018-08-30 |
| 1932680485 | Maria Briscoe | Case Manager/Care Coordinator | 124 Abigayle Row, Scott, LA 70583-8909 | 2018-08-23 |
| 1376024802 | Demetria Withers | Case Manager/Care Coordinator | 124 Abigayle Row, Scott, LA 70583-8909 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450871 | Lynley Katherine Dornier | Social Worker | 913 Alfred Street, Scott, LA 70583 | 2020-05-29 |
| 1053806257 | Larry Lantier | Pharmacist | 5900 Cameron Street, Suite 100, Scott, LA 70583 | 2018-06-29 |
| 1972024370 | Erica Zeno | Case Manager/Care Coordinator | 1000 Renaud Dr Lot 88, Scott, LA 70583 | 2017-07-06 |
| 1750811295 | Brookshire Grocery Company | Pharmacy | 200 Destination Pointe Ln., Scott, LA 70583 | 2017-06-18 |
| 1629516331 | Fontenot Scott Pharmacy | Pharmacy | 1000 St Mary St., Scott, LA 70583 | 2017-02-02 |
| 1871844977 | Carol J Coreil | Social Worker | 1500 West Willow Street, Scott, LA 70583 | 2012-09-28 |
| 1982983870 | Therapy Center of Acadiana | Clinic/Center | 300 Park West Drive, Suite A, Scott, LA 70583 | 2011-08-09 |
| 1831424340 | Valentini Imvriotis | Physical Therapist | 101 Park West, Suite D, Scott, LA 70583 | 2009-10-16 |
| 1952579484 | Intrathecal Compounding Specialists LLC | Pharmacy | 206 A Jacobs Run, Scott, LA 70583 | 2008-02-19 |
| 1811002744 | Mary Saleme | Pediatrics | 6100 Cameron Street, Scott, LA 70583 | 2006-08-20 |
| Find all providers in zip 70583 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833906 | Kelli Cain | Counselor | 919 Doc Prejean St, Scott, LA 70583-5133 | 2020-08-31 |
| 1780106112 | Tori Landry | Counselor | 107 Jalon Rd, Scott, LA 70583-4815 | 2017-07-07 |
| 1992175897 | Carmen Guilbeaux | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2015-10-05 |
| 1194357699 | Tamara Legquan Charles | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2020-02-12 |
| 1518598200 | Rontaisha L Lewis | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2020-01-31 |
| 1649811738 | Brandie Johwan Gallien | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2019-10-01 |
| 1780234138 | Alexia Gallien | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2019-09-18 |
| 1184278921 | Nicole Diaul Beasley | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2019-07-30 |
| 1407336183 | Porshia Chevalier | Counselor | 124 Abigayles Row, Scott, LA 70583 | 2018-08-21 |
| 1871074526 | Tonya Lynn Guillory | Counselor | 124 Abigayle Row, Scott, LA 70583-8909 | 2018-08-21 |
| Find all providers in SCOTT | ||||
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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.