SHIRLEY MAMOU (NPI# 1285181032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285181032 |
| Entity Type | Individual |
| Full Name | SHIRLEY MAMOU |
| Practice Address |
1140 Shirley Rd Bunkie LA 71322-1545 |
| Mailing Address |
Po Box 749 Marksville LA 71351-0749 |
| Practice Telephone | 3183468001 |
| Practice Fax Number | 3183468005 |
| Mailing Telephone | 3183056233 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | NPI | 1679507412 | 01 |
| LA | 1544761 | 05 |
| Street Address |
1140 SHIRLEY RD |
| City | BUNKIE |
| State | LA |
| Zip Code | 71322-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679507412 | Community Support Services of Louisiana, Inc. | Community/Behavioral Health | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2006-07-10 |
| 1669072401 | Kimber Puckett | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2020-10-30 |
| 1174179378 | Kasha James | Case Manager/Care Coordinator | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2019-08-13 |
| 1700349743 | Louella Ann Chambers | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2019-04-08 |
| 1205308244 | Alisha Williams | Community/Behavioral Health | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2018-12-31 |
| 1962986265 | Brittani N Johnson | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2018-09-21 |
| 1861984536 | Destyni Ducote | Case Manager/Care Coordinator | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2018-05-30 |
| 1063919231 | Demarcus Dwayne Friels | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2018-04-12 |
| 1164929592 | Tore' Monea Friels | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2018-04-11 |
| 1821502238 | Roman Dale Hill | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2017-11-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945642 | Sarah Ann Hillman | Physical Therapist | 427 Evergreen Street, Bunkie, LA 71322 | 2020-02-24 |
| 1477054005 | Michelle Ciudadano | Case Manager/Care Coordinator | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2018-02-28 |
| 1003332198 | Chelsea Garin | Counselor | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2017-08-21 |
| 1457876872 | Tayressha Joy Harmason | Community/Behavioral Health | 1140 Shirley Road, Bunkie, LA 71322 | 2017-08-07 |
| 1942731294 | Adranell Christmas | Non-emergency Medical Transport (VAN) | 303 Martin Luther King Dr, Bunkie, LA 71322 | 2017-03-27 |
| 1477916252 | Bertha Wilson | Counselor | 313 James Street, Bunkie, LA 71322 | 2016-03-30 |
| 1831516087 | Casey Ann Kendall | Pharmacist | 109 Chevy Lane Suite B, Bunkie, LA 71322 | 2014-03-26 |
| 1952642407 | Stephanie L Simmons | Registered Nurse | 1536 Bordelon Rd, Bunkie, LA 71322 | 2013-03-08 |
| 1689861908 | Assisted Living Concepts Inc | Assisted Living Facility | 650 Pershing Avenue, Bunkle, LA 71322 | 2007-10-01 |
| 1932282126 | Pulmonary Services Inc | Durable Medical Equipment & Medical Supplies | 746 Nw Main, #9, Bunkie, LA 71322 | 2006-10-23 |
| Find all providers in zip 71322 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332198 | Chelsea Garin | Counselor | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2017-08-21 |
| 1477916252 | Bertha Wilson | Counselor | 313 James Street, Bunkie, LA 71322 | 2016-03-30 |
| 1447624291 | Tomica Lawonne Daniels | Counselor | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2015-11-17 |
| 1669072401 | Kimber Puckett | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2020-10-30 |
| 1063919231 | Demarcus Dwayne Friels | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2018-04-12 |
| 1164929592 | Tore' Monea Friels | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2018-04-11 |
| 1043728280 | Darryl Honor | Counselor | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-01-22 |
| 1811412265 | Allegra Cecilia Will | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2017-08-07 |
| 1992228027 | Monique Harris Gaspard | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2017-07-20 |
| 1235650417 | Jermine Theresa Prater | Counselor | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2017-06-28 |
| Find all providers in BUNKIE | ||||
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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.