MISS KENYELL SHANTAE MCLEAN (NPI# 1003337106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003337106 |
| Entity Type | Individual |
| Full Name | MISS KENYELL SHANTAE MCLEAN |
| Practice Address |
8325 Kelwood Ave. Baton Rouge LA 70806 |
| Mailing Address |
8325 Kelwood Ave Baton Rouge LA 70806-4804 |
| Practice Telephone | (225) 245-5095 |
| Mailing Telephone | 2252455095 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
8325 KELWOOD AVE. |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840444 | Bradford J Williams | Counselor | 624 S 16th St, Baton Rouge, LA 70802-4011 | 2020-10-28 |
| 1255947883 | Vanessa Brown | Counselor | 12438 Lockhaven Ave, Baton Rouge, LA 70815-6537 | 2020-09-18 |
| 1588287809 | Catherine Vicknair | Counselor | 8755 Sullivan Rd Ste 3a, Baton Rouge, LA 70818-6031 | 2020-05-20 |
| 1174144596 | Feleshia N Borskey Young | Counselor | 3940 Prescott Rd Ste A, Baton Rouge, LA 70805-5143 | 2020-04-27 |
| 1396208617 | Trinette Amelia Jackson | Counselor | 4336 North Blvd Ste 104, Baton Rouge, LA 70806-3920 | 2019-04-12 |
| 1639632169 | Ezekiel Alsander | Counselor | 6929 Commerce Cir Apt 6101, Baton Rouge, LA 70809-1887 | 2019-04-11 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1386101764 | Joseph Stevenson | Counselor | 6245 Cedar Grove Dr, Baton Rouge, LA 70812-1730 | 2019-02-21 |
| 1891252276 | Laketa Smith | Counselor | 8365 Siegen Ln Apt 4, Baton Rouge, LA 70810-1901 | 2019-02-21 |
| 1083170500 | Lashona Latrice Alexander | Counselor | 4845 Jamestown Ave Ste 208, Baton Rouge, LA 70808-3248 | 2019-02-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on MISS KENYELL SHANTAE MCLEAN.
| 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.