CRYSTAL MC BRIDE (NPI# 1316461395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316461395 |
| Entity Type | Individual |
| Full Name | CRYSTAL MC BRIDE |
| Practice Address |
3100 Ridgelake Dr. Suite 309 Metairie LA 70002 |
| Mailing Address |
3100 Ridgelake Dr Ste 309 Metairie LA 70002-4938 |
| Practice Telephone | (504) 309-0259 |
| Mailing Telephone | 5043090259 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| 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 |
| Street Address |
3100 RIDGELAKE DR. SUITE 309 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1649709452 | Guste Plastic and Reconstructive Surgery, LLC | Clinic/Center | 3900 Veterans Blvd., Suite 200, Metairie, LA 70002 | 2017-06-06 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063043354 | Katherine Mcguire | Counselor | 701 Metairie Rd Ste 2a301, Metairie, LA 70005-4045 | 2020-01-27 |
| 1821644139 | Yari Kelley | Counselor | 4200 S I 10 Service Rd W Ste 110, Metairie, LA 70001-1237 | 2019-08-13 |
| 1437716495 | Peter Anthony Santos | Counselor | 4716 Lorino St, Metairie, LA 70006-2328 | 2019-05-24 |
| 1992268114 | Nikole L Dominique-maikell | Counselor | 3939 Veterans Memorial Blvd Ste 275, Metairie, LA 70002-5630 | 2019-04-14 |
| 1518440908 | Robert Caswell | Counselor | 3200 Ridgelake Dr Ste 100, Metairie, LA 70002-4959 | 2018-09-11 |
| 1750878252 | Kristin A Scott | Counselor | 1015 Central Ave Ste 210, Metairie, LA 70001-5777 | 2018-04-19 |
| 1235634536 | Kevieonta Monique Chester | Counselor | 4201 N 1-20 Service Rd W, Metairie, LA 70006 | 2018-03-28 |
| 1518471309 | Dereck Taplin | Counselor | 709 N Lester Ave, Metairie, LA 70003-6133 | 2017-12-01 |
| 1205350360 | Alishia Quinn | Counselor | 7809 Airline Highway Ste. 211-d, Metairie, LA 70003 | 2017-07-31 |
| 1174047476 | Craig Wilson | Counselor | 3100 Ridgelake Dr Ste 309, Metairie, LA 70002-4938 | 2017-07-28 |
| Find all providers in METAIRIE | ||||
Please comment or provide details below to improve the information on CRYSTAL MC BRIDE.
| 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.