MICHELLE DENNIS (NPI# 1306392998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306392998 |
| Entity Type | Individual |
| Full Name | MICHELLE DENNIS |
| Practice Address |
2605 Betty Street Shreveport LA 71108 |
| Practice Telephone | 3188652311 |
| Mailing Telephone | 3188652311 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974246 | Michelle L Dennis | Nurse Practitioner | 5 Martin Ct, Easton, MD 21601-3833 | 2017-07-12 |
| 1093255903 | Michelle Dennis | Pharmacist | 34 Bergendahl Dr, Griswold, CT 06351-2601 | 2017-02-27 |
| 1366486755 | Michelle Jeanine Dennis | Psychologist | 4127 Embassy Dr Se, Grand Rapids, MI 49546-2418 | 2006-06-15 |
| 1922582469 | Michelle Renae Dennis | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-09-20 |
| 1639689847 | Michelle Dennis | Physical Therapy Assistant | 3680 Dolson Ct, Carroll, OH 43112-9721 | 2017-10-03 |
| 1669857785 | Michelle Angela Dennis | Behavioral Analyst | 3-3122 Kuhio Hwy, Lihue, HI 96766-1147 | 2015-07-30 |
| 1629493044 | Michelle Dennis | Psychologist | 4001 Old Salem Rd, Englewood, OH 45322-2681 | 2014-02-21 |
| 1831470566 | Michelle Diane Dennis | Reflexologist | 24 N Coo Y Yah St, Pryor, OK 74361-3820 | 2011-09-08 |
| Street Address |
2605 BETTY STREET |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770039364 | Calvin Scott | Counselor | 2605 Betty Street, Shreveport, LA 71108 | 2016-09-01 |
| 1497201081 | Anthony Brown | Case Manager/Care Coordinator | 2605 Betty Street, Shreveport, LA 71108 | 2016-09-01 |
| 1184171654 | Jack Chandler | Counselor | 2605 Betty Street, Shreveport, LA 71108 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551140 | Berkelia Player | Case Manager/Care Coordinator | 8108 Kingston Road Suite 101 B, Shreveport, LA 71108 | 2018-06-08 |
| 1548757305 | Kenya Cawthorne | Counselor | 1520 Oakdale St, Shreveport, LA 71108 | 2018-04-17 |
| 1083112890 | Chantanell Johns | Case Manager/Care Coordinator | 8101 Kingston Rd Ste 101b, Shreveport, LA 71108 | 2018-01-26 |
| 1912425935 | Mildred Rivers | Case Manager/Care Coordinator | 4718 Hearne Ave, Shreveport, LA 71108 | 2017-08-30 |
| 1790205326 | Britney Ashton | Case Manager/Care Coordinator | 1910 Hickory St, Shreveport, LA 71108 | 2017-06-24 |
| 1548792674 | La'travia Jackson | Case Manager/Care Coordinator | 3430 Fernwood Ln, Shreveport, LA 71108 | 2017-03-29 |
| 1962941476 | Johnetta Marshall | Counselor | 6901 Despot Rd, Shreveport, LA 71108 | 2017-02-16 |
| 1295283992 | Shaun Cooper | Case Manager/Care Coordinator | 8824 Ruth Ave, Shreveport, LA 71108 | 2016-09-12 |
| 1508313735 | Tara Black | Counselor | 7019 Louise St, Shreveport, LA 71108 | 2016-09-06 |
| 1659828960 | Maranda Bolden | Counselor | 4906 Merlin Circle, Apt 4906, Shreveport, LA 71108 | 2016-09-02 |
| Find all providers in zip 71108 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71108 |
Please comment or provide details below to improve the information on MICHELLE DENNIS.
| 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.