KIMRON SMITH (NPI# 1013407006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013407006 |
| Entity Type | Individual |
| Full Name | KIMRON SMITH |
| Credential | MA |
| Practice Address |
7550 Pines Road Suite 1115 Shreveport LA 71129 |
| Mailing Address |
6014 Alycia Nikole Ln Shreveport LA 71129-4357 |
| Practice Telephone | 3186834086 |
| Mailing Telephone | 3188201985 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
LA | Behavioral Health & Social Service Providers |
| Street Address |
7550 PINES ROAD SUITE 1115 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241739 | D&d Transportation Agency LLC | Non-emergency Medical Transport (VAN) | 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 | 2020-06-30 |
| 1801383518 | Latarsha Parker | Counselor | 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 | 2018-04-18 |
| 1003317652 | Demarkus Webb | Case Manager/Care Coordinator | 6117 Newton Abbott Dr, Shreveport, LA 71129 | 2018-02-27 |
| 1073024014 | Charnita Thomas | Case Manager/Care Coordinator | 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 | 2017-10-17 |
| 1578073334 | Keyon Williams | Counselor | 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 | 2017-10-06 |
| 1689193765 | Beranna R Smith | Physical Therapy Assistant | 8186 Dance Dr., Shreveport, LA 71129 | 2017-09-11 |
| 1699204982 | Bac Foundation | Community/Behavioral Health | 8500 Pines Rd 19, Shrevepot, LA 71129 | 2017-06-08 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1538692496 | Dale Smith | Counselor | 5925 Dexter Pl, Shreveport, LA 71129 | 2017-04-07 |
| 1942740162 | Shante Gardner | Counselor | 6009 Financial Plz Ste 230, Shreveport, LA 71129 | 2017-03-07 |
| Find all providers in zip 71129 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215458930 | Yolanda Hensley Dodson | Counselor | 2924 Knight Street Bldg. 4 Suite 426, Shreveport, LA 71105 | 2017-07-03 |
| 1326597964 | Carylon Nickelberry | Counselor | 4311 Gabriel Cir, Shreveport, LA 71109-6602 | 2016-09-23 |
| 1437532249 | Ashley Enders Clinger | Counselor | 820 Jordan St Ste 485, Shreveport, LA 71101-4533 | 2015-06-30 |
| 1669945986 | Melvin Lars | Counselor | 4111 Metro Dr Ste B, Shreveport, LA 71109-6001 | 2019-01-09 |
| 1518490465 | Casandra Wallace | Counselor | 6811 Fairfield Ave, Shreveport, LA 71106-3803 | 2017-04-07 |
| 1154879161 | Claude J Russell IIi | Counselor | 1406 Hawn Ave, Shreveport, LA 71107-6532 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720558026 | Brendan Michael Turner | Counselor | 1035 Calhoun St Fl 3, New Orleans, LA 70118-5913 | 2018-11-29 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1952849085 | Emmar Mayberry | Counselor | 7551 Anne Marie Ct, New Orleans, LA 70128 | 2017-02-09 |
| 1780033175 | Compassionate Hearts Ministry | Counselor | 5709 Goodland Trce, Alexandria, LA 71301-2655 | 2016-06-07 |
| 1366800328 | Diversion Youth and Family Counseling LLC | Counselor | 12524 Merlin Ave, Baton Rouge, LA 70816-2494 | 2016-02-05 |
| 1790157121 | Trevis Alford | Counselor | 3845 E Loyola Dr, Kenner, LA 70065-2548 | 2015-10-25 |
| 1730598202 | Rebecca Teasley | Counselor | 3800 Highway 1216, Zwolle, LA 71486-3081 | 2014-08-08 |
| 1619391471 | Jenee Alleman | Counselor | 809 Summer Breeze Dr Apt 1002, Baton Rouge, LA 70810-6297 | 2014-02-13 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71129 |
Please comment or provide details below to improve the information on KIMRON SMITH.
| 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.