NEURO EEG BIOFEEDBACK ASSOCIATES, LLC (NPI# 1316228893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316228893 |
| Entity Type | Organization |
| Organization Name | NEURO EEG BIOFEEDBACK ASSOCIATES, LLC |
| Practice Address |
1 Lakeshore Dr Suite 1490 Lake Charles LA 70629-0100 |
| Mailing Address |
1060 Oscar Guidry Rd Saint Martinville LA 70582-6213 |
| Practice Telephone | 3372782903 |
| Mailing Telephone | 3372782903 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Authorized Official Name | MS. MONIKA ALICE WILLIAMSON (OWNER) |
| Authorized Official Telephone | 3372782903 |
| Authorized Official Credential | RN, BSN, OCN, LN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | LA | Ambulatory Health Care Facilities |
| Street Address |
1 LAKESHORE DR SUITE 1490 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70629-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661508 | Kashinath Gangadhara Yadalam | Psychiatry & Neurology | 1 Lakeshore Dr, Suite 1695, Lake Charles, LA 70629-0100 | 2005-07-05 |
| 1811359987 | Michelle L Wall, LLC | Case Management | 1 Lakeshore Dr, Suite 1620, Lake Charles, LA 70629-0100 | 2016-03-28 |
| 1073973905 | Michelle L Wall, LLC | Case Management | 1 Lakeshore Dr, Suite 1620, Lake Charles, LA 70629-0100 | 2016-03-04 |
| 1841694452 | Ca Murphy Medical Group LLC | Psychiatry & Neurology | 1 Lakeshore Dr, Suite 1830, Lake Charles, LA 70629-0100 | 2014-10-13 |
| 1891031225 | Medtek Specialties | Durable Medical Equipment & Medical Supplies | 1 Lakeshore Dr, Suite 1275, Lake Charles, LA 70629-0100 | 2012-12-12 |
| 1437369956 | L & D Community Care, Inc | Assisted Living Facility | 1 Lakeshore Dr, Suite 1850, Lake Charles, LA 70629-0100 | 2007-05-23 |
| 1649338161 | L & D Communiyt Care, Inc. | Assisted Living Facility | 1 Lakeshore Dr, Lake Charles, LA 70629-0100 | 2006-12-05 |
| 1225102841 | L & D Community Care, Inc. | Assisted Living Facility | 1 Lakeshore Dr, Lake Charles, LA 70629-0100 | 2006-11-17 |
| 1962519934 | L & D Community Care, Inc | In Home Supportive Care | 1 Lakeshore Dr, Suite 565, Lake Charles, LA 70629-0100 | 2006-08-24 |
| 1396760096 | Samuel E Liscum | Chiropractor | 1 Lakeshore Dr, Suite 1670, Lake Charles, LA 70629-0100 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447517909 | Lake Charles Clinical Trials, LLC | Clinic/Center | One Lakeshore Drive, Suite 1695, Lake Charles, LA 70629 | 2012-04-20 |
| 1497969133 | Lawrence Dilks | Psychologist | 1 Lakeshore Dr., Suite 1610, Lake Charles, LA 70629 | 2007-05-10 |
| 1477177814 | Dr. Phaetra K. Raney Foundation Inc. | Clinic/Center | 1 Lakeshore Dr Ste 130, Lake Charles, LA 70629-0100 | 2020-06-02 |
| 1912303454 | Patrick Steward | Counselor | 1 Lakeshore Dr Ste 1640e, Lake Charles, LA 70629-0100 | 2014-11-11 |
| 1679197651 | Lake Area Tms | Clinic/Center | 1 Lakeshore Dr Ste 130, Lake Charles, LA 70629-0100 | 2020-06-04 |
| 1023414448 | New Beginnings Community Outreach Center | Community/Behavioral Health | 1 Lakeshore Dr Ste 1640e, Lake Charles, LA 70629-0100 | 2014-11-12 |
| 1679766711 | Advanced Ortho Rehab, P.a. | Chiropractor | 1 Lakeshore Dr Ste 1620, Lake Charles, LA 70629-0104 | 2007-08-22 |
| 1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
| 1689871121 | St. Paul Companion Care, L.L.C. | Home Health | 1 Lakeshore Dr Ste 1695, Lake Charles, LA 70629-0114 | 2007-06-28 |
| 1013392869 | Kimberly S Hutchinson | Clinical Neuropsychologist | 1 Lakeshore Dr Ste 1610, Lake Charles, LA 70629-0117 | 2015-07-22 |
| Find all providers in zip 70629 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831611508 | Allied Health, LLC | Clinic/Center | 805 W Bayou Pines Dr Ste D, Lake Charles, LA 70601-9605 | 2017-07-13 |
| 1841729134 | Rankins Chiropractic and Rehabilitation, LLC | Clinic/Center | 910 8th Ave., Lake Charles, LA 70601 | 2017-06-08 |
| 1952731275 | Vein Center of Southwest Louisiana LLC | Clinic/Center | 525 Shell Beach Dr, Lake Charles, LA 70601-5730 | 2013-11-22 |
| 1447517909 | Lake Charles Clinical Trials, LLC | Clinic/Center | One Lakeshore Drive, Suite 1695, Lake Charles, LA 70629 | 2012-04-20 |
| 1447342621 | Tee's Fitness & Rehabilitation Center | Clinic/Center | 2808 Broad St, Lake Charles, LA 70615-4961 | 2006-09-28 |
| 1548227523 | Pet Imaging of Southwest Louisiana, LLC | Clinic/Center | 600 Bayou Pines East, Ste A, Lake Charles, LA 70601 | 2006-04-26 |
| 1497742613 | Lahaye Total Eye Care of Lake Charles, Inc | Clinic/Center | 628 E Prien Lake Rd, Lake Charles, LA 70601-8686 | 2005-10-03 |
| 1679197651 | Lake Area Tms | Clinic/Center | 1 Lakeshore Dr Ste 130, Lake Charles, LA 70629-0100 | 2020-06-04 |
| 1851792824 | Cvs/ Pharmacy | Clinic/Center | 2000 Ryan St, Lake Charles, LA 70601-7314 | 2014-09-10 |
| 1861766321 | Clark A Gunderson Md Amc | Clinic/Center | 2615 Enterprise Blvd, Lake Charles, LA 70601-7686 | 2012-03-01 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70629 |
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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.