MR. HERBERT GRANT HICKLE (NPI# 1285008441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285008441 |
| Entity Type | Individual |
| Full Name | MR. HERBERT GRANT HICKLE |
| Credential | PLPC |
| Practice Address |
100 Poydras St Lafayette LA 70501-4740 |
| Practice Telephone | 3372316365 |
| Mailing Telephone | 3372316365 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3257 | LA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6210 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LPC BOARD | 6210 | 01 |
| Street Address |
100 POYDRAS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861688467 | Virginia Hart Miller | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2007-09-18 |
| 1962967885 | Lisa Kate Landry | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2019-02-05 |
| 1770095929 | Eric Williams | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2017-10-27 |
| 1417497538 | Linda Mae Dauphine | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2017-03-08 |
| 1790144723 | Elizabeth Gardner | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2016-02-18 |
| 1689033839 | Lafayette Parish Sheriff's Office | Community/Behavioral Health | 100 Poydras St, Lafayette, LA 70501-4740 | 2016-02-16 |
| 1689048837 | Ronald Wayon Hines | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2015-11-25 |
| 1164896668 | Guy Rees Gideon | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2015-11-20 |
| 1942674460 | M. Charisse Granger | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2015-11-20 |
| 1003176744 | Kimberly Lachney | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2012-05-28 |
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| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
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| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
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| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1255981726 | Jason Delahoussaye | Counselor | 1223 Camellia Blvd Ste 201, Lafayette, LA 70508-7220 | 2019-09-17 |
| 1417518341 | Kristen Nicole Neville | Counselor | 143 Ridgeway Dr # 201, Lafayette, LA 70503-3414 | 2019-06-21 |
| 1528623980 | Jason Bailey | Counselor | 1921 Dulles Dr, Lafayette, LA 70506-2716 | 2019-05-01 |
| Find all providers in LAFAYETTE | ||||
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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.