AMANDA MONTEGUT BOURGEOIS (NPI# 1235765546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235765546 |
| Entity Type | Individual |
| Full Name | AMANDA MONTEGUT BOURGEOIS |
| Credential | LPC |
| Practice Address |
13513 River Rd Luling LA 70070-4259 |
| Mailing Address |
14 Lagi St La Place LA 70068-8409 |
| Practice Telephone | 9852220126 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5859 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510977 | Amanda Elizabeth Bourgeois | Counselor | 4329 Arrowhead St, Baton Rouge, LA 70808-3921 | 2020-05-24 |
| 1598136301 | Amanda E. Bourgeois | Dietitian, Registered | 2401 Veterans Memorial Blvd, Kenner, LA 70062-4730 | 2015-10-20 |
| 1972982312 | Amanda Bourgeois | Counselor | 76 Church St, Whitinsville, MA 01588-1464 | 2015-05-19 |
| 1063423580 | Amanda J. Bourgeois | Optometrist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-10 |
| Street Address |
13513 RIVER RD |
| City | LULING |
| State | LA |
| Zip Code | 70070-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982902300 | Bonny Ann Maise | Counselor | 13513 River Rd, Luling, LA 70070-4259 | 2011-03-09 |
| 1952689622 | Erin M Crisham | Counselor | 13513 River Rd, Luling, LA 70070-4259 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972877165 | Ashley L Trosclair | Counselor | 13101 River Rd, Luling, LA 70070-4165 | 2012-03-06 |
| 1982902300 | Bonny Ann Maise | Counselor | 13513 River Rd, Luling, LA 70070-4259 | 2011-03-09 |
| 1801946173 | Danny K Roussel | Counselor | 13513 River Road, Luling, LA 70070 | 2007-01-11 |
| 1750824363 | Brianne Cortez | Counselor | 13101 River Rd, Luling, LA 70070-4165 | 2016-11-30 |
| 1851756274 | Kerrah Fabacher | Counselor | 13101 River Rd, Luling, LA 70070-4165 | 2015-12-30 |
| 1952689622 | Erin M Crisham | Counselor | 13513 River Rd, Luling, LA 70070-4259 | 2011-07-29 |
| 1336361906 | M. Anne O'brien | Counselor | 13513 River Road, Luling, LA 70070 | 2007-05-03 |
| 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 | ||||
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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.