MR. ROBERT FRANCIS CONWAY JR. (NPI# 1093209967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093209967 |
| Entity Type | Individual |
| Full Name | MR. ROBERT FRANCIS CONWAY JR. |
| Credential | PLPC |
| Practice Address |
3821 Southern Ave Shreveport LA 71106-1033 |
| Mailing Address |
Po Box 5877 Shreveport LA 71135-5877 |
| Practice Telephone | 3189468157 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PLPC7389 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316191463 | Robert A. Conway | Anesthesiology | 1076 W Chandler Blvd Ste 109, Chandler, AZ 85224-5223 | 2008-11-14 |
| 1548397623 | Robert M Conway | Optometrist | 20 Allens Creek Rd, Suite 1, Rochester, NY 14618-3228 | 2007-02-27 |
| 1952444838 | Robert E. Conway | Dentist | 395 N Maple Ave, Kingston, PA 18704-3614 | 2007-02-14 |
| 1659862217 | Robert M Conway | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3499 | 2018-05-19 |
| 1063831394 | Robert Gregory Conway | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S4c12, Baltimore, MD 21201-1544 | 2014-04-15 |
| 1104116607 | Robert Lewis Conway | Pharmacist | 5234 Richfield Rd, Flint, MI 48506-2161 | 2011-04-18 |
| 1518157510 | Robert L Conway | Medical Genetics | 3950 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2007-07-26 |
| 1336287556 | Robert Arthur Conway | Marriage & Family Therapist | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2007-02-01 |
| 1962433870 | Robert R Conway | Physical Medicine & Rehabilitation | 315 Business Loop 70 W, Columbia, MO 65203-3248 | 2006-07-06 |
| 1780658567 | Robert S Conway | Nurse Anesthetist, Certified Registered | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-16 |
| Street Address |
3821 SOUTHERN AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285998716 | Active Recovery LLC | Community/Behavioral Health | 3821 Southern Ave, Active Recovery LLC, Shreveport, LA 71106 | 2012-06-29 |
| 1083239735 | Charles Robert Yates Jr. | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2020-06-09 |
| 1689211047 | Constance Darby | Social Worker | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2019-12-04 |
| 1215570650 | Marshall Turner IIi | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2019-10-17 |
| 1780153270 | Melissa Troy | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-11-14 |
| 1093204554 | Anna-katrina Keco | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-05-09 |
| 1952815458 | Kellye Jean Lewis | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-11-21 |
| 1992225650 | Kathryn Costello | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-06-23 |
| 1346786373 | Amanda Veuleman | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-01-14 |
| 1962865279 | Jeremy Lindsay | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.