VONTRELL WILSON (NPI# 1205201811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205201811 |
| Entity Type | Individual |
| Full Name | VONTRELL WILSON |
| Credential | LPC |
| Practice Address |
801 S Lewis St New Iberia LA 70560-4882 |
| Practice Telephone | 3379401846 |
| Mailing Telephone | 3379401846 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5059 | LA | Behavioral Health & Social Service Providers |
| Street Address |
801 S LEWIS ST |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932383908 | Jane Lockett Harman Outreach, Inc | Custodial Care Facility | 801 S Lewis St, Ste 3, New Iberia, LA 70560-4882 | 2007-12-26 |
| 1548615321 | Antrina Jones | Counselor | 801 S Lewis St, Suite 3, New Iberia, LA 70560-4882 | 2016-04-28 |
| 1417311879 | Donna Francis | Counselor | 801 S Lewis St, Ste.3, New Iberia, LA 70560-4882 | 2016-04-11 |
| 1245699792 | New Approaches Mental Health Services | Community/Behavioral Health | 801 S Lewis St, Suite 3, New Iberia, LA 70560-4882 | 2016-02-12 |
| 1609235159 | New Approaches Mental Health Services | Community/Behavioral Health | 801 S Lewis St, New Iberia, LA 70560-4882 | 2016-02-12 |
| 1386000883 | Franchester Jones | Counselor | 801 S Lewis St, Suite 3, New Iberia, LA 70560-4882 | 2016-01-13 |
| 1992160154 | Randy Louis | Counselor | 801 S Lewis St, 3, New Iberia, LA 70560 | 2015-12-15 |
| 1407211675 | Jerona Robinson | Counselor | 801 S Lewis St, 3, New Iberia, LA 70560-4882 | 2015-12-15 |
| 1467817635 | Marquia Whitehead | Counselor | 801 S Lewis St, 3, New Iberia, LA 70560-4882 | 2015-12-15 |
| 1578938700 | Basheba Martin | Counselor | 801 S Lewis St, Suite 3, New Iberia, LA 70560-4882 | 2015-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195467 | Tyler Olivier | Counselor | 1519 Anderson St, New Iberia, LA 70560-5105 | 2018-05-21 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1013305473 | Camille Jarrell | Counselor | 512 Allen St, New Iberia, LA 70563-1802 | 2015-01-07 |
| 1952526113 | Scarlett Cain Vincent | Counselor | 112 Church Aly, New Iberia, LA 70560-3709 | 2007-04-14 |
| 1043629165 | Dana Judice LLC | Counselor | 411 Weeks St, New Iberia, LA 70560-4551 | 2014-08-04 |
| 1952521072 | Steven James Hargrave | Counselor | 203 West Main Street, Suite 101, New Iberia, LA 70560 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363202 | Allison Gregerson | Counselor | 5016 Ithaca St, Metairie, LA 70006-2540 | 2020-10-14 |
| 1437766573 | Always Hope LLC | Counselor | 38105 Post Office Rd Ste 8, Prairieville, LA 70769-4296 | 2020-09-23 |
| 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 |
| 1649881020 | Grey Matter Concepts,inc. | Counselor | 5514 Music St., New Orleans, LA 70122 | 2020-08-11 |
| 1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
| 1700495538 | Michelle Waguespack | Counselor | 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 | 2020-07-28 |
| 1093323214 | Scott Moran | Counselor | 902 C M Fagan Dr Ste F, Hammond, LA 70403-6043 | 2020-07-14 |
| 1700404175 | Gerard Williams | Counselor | 2621 Long Branch Dr, Marrero, LA 70072-5854 | 2020-07-11 |
| 1356966899 | Carey Bergeron | Counselor | 9721 Paula Dr, River Ridge, LA 70123-1915 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
Please comment or provide details below to improve the information on VONTRELL WILSON.
| 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.