PROVISION REHAB (NPI# 1154879039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154879039 |
| Entity Type | Organization |
| Organization Name | PROVISION REHAB |
| Practice Address |
113 Bienville Sq Natchitoches LA 71457-5069 |
| Practice Telephone | 3182384030 |
| Mailing Telephone | 3182384030 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | DEADRIAN FICKLIN (DIRECTOR) |
| Authorized Official Telephone | 3182384030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
113 BIENVILLE SQ |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71457-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942675947 | Deadrian Alexander-ficklin | Community/Behavioral Health | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-02 |
| 1730545930 | Elizabeth Campbell | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2016-01-05 |
| 1700241155 | Amy Pharr | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-29 |
| 1659736015 | Amy Cole | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-29 |
| 1447615802 | Jasmine Belmon | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-29 |
| 1407211857 | Belonda Howard | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-29 |
| 1861857211 | Margaret Maffett | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-29 |
| 1003271461 | Brittany Carter | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-29 |
| 1992160493 | Carla Cook | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-28 |
| 1437514932 | Dwanna Chatman | Counselor | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| 1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| Find all providers in zip 71457 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663778 | Future Expectations Community Care Services | Community/Behavioral Health | 116 South Dr Ste 105, Natchitoches, LA 71457-5055 | 2016-03-30 |
| 1942675947 | Deadrian Alexander-ficklin | Community/Behavioral Health | 113 Bienville Sq, Natchitoches, LA 71457-5069 | 2015-12-02 |
| 1326410143 | Jeremy Martin | Community/Behavioral Health | 114 Royal St., Natchitoches, LA 71457 | 2015-10-21 |
| 1447621156 | Joy Impact Counseling Services, LLC | Community/Behavioral Health | 861 3rd St, Natchitoches, LA 71457-4701 | 2015-10-08 |
| 1578826137 | Cane River Children's Services, Inc. | Community/Behavioral Health | 425 Rue Degabriel, Natchitoches, LA 71457 | 2012-06-19 |
| 1073826681 | Provision Rehab, LLC | Community/Behavioral Health | 113 South Dr, Natchitoches, LA 71457-5039 | 2010-07-23 |
| 1710426838 | Simone Brewer | Community/Behavioral Health | 90 Melrose Ave, Natchitoches, LA 71457-5926 | 2017-02-22 |
| 1336684927 | Empowering Minds Counseling Services | Community/Behavioral Health | 344 South Dr, Suite C, Natchitoches, LA 71457-5066 | 2017-01-05 |
| 1083162465 | Rehabilitation Services of Central Louisiana, LLC | Community/Behavioral Health | 415 Bienville St, Suite 6, Natchitoches, LA 71457-5737 | 2016-09-14 |
| 1669859302 | New Choice Counseling Center, LLC | Community/Behavioral Health | 111 E 5th St, Natchitoches, LA 71457-5724 | 2015-05-01 |
| Find all providers in NATCHITOCHES | ||||
| City | NATCHITOCHES |
| Zip Code | 71457 |
Please comment or provide details below to improve the information on PROVISION REHAB.
| 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.