CENTURY 2 THERAPY DIVISION STREET CENTER, LLC (NPI# 1023014131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023014131 |
| Entity Type | Organization |
| Organization Name | CENTURY 2 THERAPY DIVISION STREET CENTER, LLC |
| Practice Address |
3901 Houma Blvd Ste 113 Metairie LA 70006-2930 |
| Practice Telephone | 5048881330 |
| Practice Fax Number | 5048886201 |
| Mailing Telephone | 5048881330 |
| Mailing Fax Number | 5048886201 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK LELAND GUIDRY (CEO) |
| Authorized Official Telephone | 5042934000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | AETNA PROVIDER NUMBER | 7307358 | 01 |
| LA | 1113671 | 05 |
| Street Address |
3901 HOUMA BLVD STE 113 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942741848 | Berry's Community Services | Community/Behavioral Health | 3901 Houma Blvd, Metairie, LA 70006-2930 | 2017-03-13 |
| 1609312982 | Berrys Behavioral Health | Community/Behavioral Health | 3901 Houma Blvd, Ste 400, Metairie, LA 70006-2930 | 2017-01-11 |
| 1487040978 | Carol N. Fontenot Lcsw LLC | Social Worker | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2015-04-10 |
| 1710253836 | John G. Fasick Dpm LLC | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2012-03-23 |
| 1891069118 | Daniel J Trahant, Md (apmc) | Psychiatry & Neurology | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2012-03-05 |
| 1760766489 | Advanced Foot and Ankle Center LLC | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2011-09-29 |
| 1538449772 | Tara S Rice | Nurse Practitioner | 3901 Houma Blvd, Ste. 202, Metairie, LA 70006-2930 | 2011-08-19 |
| 1598082083 | William Mark Caldwell | General Practice | 3901 Houma Blvd, #510, Metairie, LA 70006 | 2010-04-23 |
| 1821327651 | Metairie Health Center Inc | Family Medicine | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2009-12-07 |
| 1578796678 | New Millennium Medical Group Inc | Family Medicine | 3901 Houma Blvd, Suite 400, Metairie, LA 70006-2930 | 2009-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760892699 | Boost Rehab | Rehabilitation Practitioner | 2901 N I 10 Service Rd E, Ste 201, Metairie, LA 70002-6137 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941684 | Lynn Toni Phillips | Rehabilitation Practitioner | 12760 Roan Ave, Baton Rouge, LA 70810-4756 | 2020-01-10 |
| 1083261192 | Anishia N Etienne | Rehabilitation Practitioner | 9800 Airline Hwy Ste 221, Baton Rouge, LA 70816-8195 | 2019-08-22 |
| 1750850764 | Rise Career Services & Leadership Development, LLC | Rehabilitation Practitioner | 5145 Main St Ste I, Zachary, LA 70791-3900 | 2018-11-19 |
| 1093168536 | Anthony Wells Jr | Rehabilitation Practitioner | 2782 Thomas Rd, Baton Rouge, LA 70807 | 2016-07-20 |
| 1972766707 | Hal David Macmurdo,m.d. Apmc | Rehabilitation Practitioner | 823 North Union Street, Opelousas, LA 70570-6313 | 2008-07-02 |
| 1871704965 | Dina B Leighton | Rehabilitation Practitioner | 1140 College Ave Lc College Pool, C/o Pe Dept Dr Spears, Pineville, LA 71359 | 2007-05-24 |
| 1093163768 | Jardashai Alexander | Rehabilitation Practitioner | 701 Loyola Ave Ste 106, New Orleans, LA 70113-1912 | 2016-06-02 |
| 1619353406 | Stacie Nwabueze | Rehabilitation Practitioner | 3050 Charles Dr, Jackson, LA 70748-6135 | 2015-08-04 |
| 1265747422 | Bo L Nguyen | Rehabilitation Practitioner | 108 E Sanders St, Gonzales, LA 70737-3144 | 2010-08-12 |
| 1871732115 | Brian J Coyne | Rehabilitation Practitioner | 700 University Ave, University of Louisiana At Monroe, Dept. of Kinesiology, Monroe, LA 71209-9000 | 2009-02-10 |
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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.