DR. CHANTRELLE DERON VARNADO-JOHNSON (NPI# 1023387925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023387925 |
| Entity Type | Individual |
| Full Name | DR. CHANTRELLE DERON VARNADO-JOHNSON |
| Credential | PHD, LPC-S., NCC |
| Practice Address |
906 East 1st Stret Thibodaux LA 70310-5848 |
| Mailing Address |
Po Box 2075 Dept of Psychology Counseling & Family Thibodaux LA 70310-0001 |
| Practice Telephone | 9854484349 |
| Practice Fax Number | 9854484435 |
| Mailing Telephone | 9854484349 |
| Mailing Fax Number | 8544844435 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3895 | LA | Behavioral Health & Social Service Providers |
| Street Address |
906 EAST 1ST STRET |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70310-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205204716 | Tammy My Huyen Nguyen | Student in an Organized Health Care Education/Training Program | 115-a Betsy Cheramie Ayo Hl, Thibodaux, LA 70310-0001 | 2015-09-14 |
| 1932266954 | Jon M Hay | Specialist/Technologist | 2090 Nicholls State Unive, Athletic Training Science, Thibodaux, LA 70310-0001 | 2007-01-02 |
| 1780612234 | Gerard Anthony White | Specialist/Technologist | Nicholls State University, 906 East First Street, Thibodaux, LA 70310-0001 | 2006-06-30 |
| 1013385632 | Moriah Mckenna Strother | Student in an Organized Health Care Education/Training Program | 906 E 1st St, Thibodaux, LA 70310-3730 | 2015-09-14 |
| 1205334265 | Harley Elizabeth Benoit | Student in an Organized Health Care Education/Training Program | 906 East First Street, Thibodaux, LA 70310-7311 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474683 | Katie Bilello | Dietitian, Registered | 142 Rue Marguerite Ste B, Thibodaux, LA 70301-6708 | 2020-10-13 |
| 1841801545 | Trace M Juneau | Student in an Organized Health Care Education/Training Program | 201 Mable St, Thibodaux, LA 70301-4013 | 2020-08-14 |
| 1952911232 | Eriyanne Breshon Mollere | Case Manager/Care Coordinator | 106 Drew Ct Apt A, Thibodaux, LA 70301-8416 | 2020-08-03 |
| 1457979684 | Penny Rush Rodrigue | Nurse Practitioner | 604 N Acadia Rd Ste 405, Thibodaux, LA 70301-4897 | 2020-07-14 |
| 1043836166 | Thibodaux Regional Network Development Corporation | Podiatrist | 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | 2020-06-24 |
| 1003430257 | Thibodaux Regional Network Development Corporation | Surgery | 604 N Acadia Rd Ste 410, Thibodaux, LA 70301-4897 | 2020-06-03 |
| 1346864071 | Just Health | Clinic/Center | 200 Canal Blvd, Thibodaux, LA 70301-3410 | 2020-05-28 |
| 1851913412 | Gretchen Landry | Social Worker | 509 Menard St, Thibodaux, LA 70301-3521 | 2020-05-17 |
| 1639798796 | Just Health | Clinic/Center | 103 Maronge St, Thibodaux, LA 70301-3057 | 2020-04-09 |
| 1659907905 | Ryan David Kliebert | Student in an Organized Health Care Education/Training Program | 1032 Highway 20 Lot 1, Thibodaux, LA 70301-6237 | 2020-03-19 |
| Find all providers in THIBODAUX | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648674 | Jerome Wilson | Counselor | 100 Diplomat Way, Thibodaux, LA 70301-4314 | 2020-01-10 |
| 1114414588 | Tanya M. Breaux | Counselor | 806 N Acadia Rd, Thibodaux, LA 70301-5012 | 2018-04-20 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1407380934 | Michael Disalvo | Counselor | 142 Rue Marguerite Apt A, Thibodaux, LA 70301-6746 | 2017-04-11 |
| 1356873533 | Tracy L Reed | Counselor | 111 Leonard St, Thibodaux, LA 70301-4117 | 2017-03-28 |
| 1538526181 | Bonnie Fortson | Counselor | 300 Plantation Rd Apt 1, Thibodaux, LA 70301-4442 | 2016-01-26 |
| 1659787190 | Richard Naquin | Counselor | 519 Blake Ct, Thibodaux, LA 70301-3503 | 2014-07-04 |
| 1730594920 | Lester Olinde | Counselor | 205 Dorothy St, Thibodaux, LA 70301-5517 | 2014-06-25 |
| 1851636898 | Brittney Henry | Counselor | 142 Laura Dr, Suite D, Thibodaux, LA 70301-2988 | 2012-12-03 |
| 1184932840 | Bryan J. Blanchard | Counselor | 245 Cindy St, Thibodaux, LA 70301-5801 | 2010-09-15 |
| Find all providers in THIBODAUX | ||||
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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.