RYAN JUDICE (NPI# 1194183798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194183798 |
| Entity Type | Individual |
| Full Name | RYAN JUDICE |
| Credential | M.ED. |
| Practice Address |
2525 Youree Dr Ste 110 Shreveport LA 71104-3600 |
| Practice Telephone | 3187423408 |
| Mailing Telephone | 3187423408 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
6329 | LA | Behavioral Health & Social Service Providers |
| Street Address |
2525 YOUREE DR STE 110 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376826800 | Lakimberly Gill | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2011-09-21 |
| 1326525056 | Odion Agbi | Case Manager/Care Coordinator | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2018-07-25 |
| 1972090165 | Beverly Sequita Howze | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2018-04-13 |
| 1972004547 | Cornelius Belt | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2018-02-28 |
| 1932616489 | Tanya D King | Social Worker | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2018-01-05 |
| 1770096166 | Alicia Williams | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2017-11-08 |
| 1841703261 | Raven Danyale Ponds | Social Worker | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2017-11-07 |
| 1437669090 | Joseph Mccain Dinkins | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 | 2017-10-09 |
| 1437677895 | Courtney Leah Bouligny | Counselor | 2525 Youree Dr Ste 110, Shreveport, LA 71104 | 2017-09-06 |
| 1841716313 | Christina Renee' Jackson | Case Manager/Care Coordinator | 2525 Youree Dr Ste 110, Shreveport, LA 71104 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
| 1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
| 1528689213 | Whitfield Counseling Services | Counselor | 2924 Knight St Ste 410, Shreveport, LA 71105-2413 | 2020-05-04 |
| 1376172908 | Lajuana Stephens | Counselor | 7318 Winder Dr, Shreveport, LA 71129-4013 | 2020-04-06 |
| 1417503723 | Beyond The Crossroads Counseling Center, LLC | Counselor | 3321 Youree Dr Ste E, Shreveport, LA 71105-2123 | 2019-08-13 |
| 1336702950 | Terrance Toney Sr. | Counselor | 272 E 78th St, Shreveport, LA 71106-5602 | 2019-04-18 |
| 1922564327 | Briana A Craige | Counselor | 6009 Financial Plz # 102, Shreveport, LA 71129-2615 | 2019-02-11 |
| 1518434182 | Road To Change | Counselor | 2620 Centenary Blvd Ste 204, Shreveport, LA 71104-3350 | 2018-10-31 |
| 1619455649 | Kindled Keys of Counseling, LLC | Counselor | 1737 Boykin Blvd, Shreveport, LA 71107-6108 | 2018-08-01 |
| 1174040646 | Khakillya Babers Everett | Counselor | 8214 Green Leaf Ln, Shreveport, LA 71108-5738 | 2017-08-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.