MR. MIKEL DEVIN CONNOR (NPI# 1124560107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124560107 |
| Entity Type | Individual |
| Full Name | MR. MIKEL DEVIN CONNOR |
| Practice Address |
751 Bayou Pines Dr Lake Charles LA 70601 |
| Mailing Address |
415 E Claude St Lake Charles LA 70605-2945 |
| Practice Telephone | 3374333292 |
| Mailing Telephone | 2526650515 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
751 BAYOU PINES DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1093357717 | Julie Este-mcdonald | Counselor | 300 E Mcneese St Ste 5a, Lake Charles, LA 70605-5700 | 2019-10-15 |
| 1255973400 | Lake Area Counseling, LLC | Counselor | 715 Ryan St Ste 105, Lake Charles, LA 70601-4200 | 2019-10-09 |
| 1730666934 | Carla Reeves Ma Lpc LLC | Counselor | 710 W Prien Lake Rd Ste 104, Lake Charles, LA 70601-8350 | 2018-07-20 |
| 1154871606 | Jacquana Alfred | Counselor | 241 W Sallier St, Lake Charles, LA 70601-5892 | 2016-10-08 |
| 1801345533 | Mary E. Dix | Counselor | 110 Grogan Ln, Lake Charles, LA 70615-2932 | 2016-09-22 |
| 1891241600 | Alyse Guillory | Counselor | 751 W Bayou Pines Dr, Suite A, Lake Charles, LA 70601-3600 | 2016-08-31 |
| 1518319615 | Shawna Sezar | Counselor | 803 W Bayou Pines Dr Ste A, Lake Charles, LA 70601-7096 | 2016-07-13 |
| 1316393234 | Aman Chabkoun | Counselor | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2016-05-10 |
| 1235597345 | Youlanda Mcclain | Counselor | 751 East Bayou Pines Dr, Suite C, Lake Charles, LA 70601 | 2016-02-03 |
| 1588083687 | Lisa J Brune and Company, LLC | Counselor | 607 Ryan St, Lake Charles, LA 70601-4240 | 2014-04-16 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.