MR. GLENN LOUIS NAQUIN JR. (NPI# 1346760972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346760972 |
| Entity Type | Individual |
| Full Name | MR. GLENN LOUIS NAQUIN JR. |
| Credential | LAC, NRP |
| Practice Address |
264 Blue Ridge Dr Gray LA 70359-5318 |
| Practice Telephone | (985) 262-7224 |
| Mailing Telephone | 9852627224 |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2017-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1594 | LA | Behavioral Health & Social Service Providers |
| N | 146L00000X | Emergency Medical Technician, Paramedic | LA14-95911 | LA | Emergency Medical Service Providers |
| Street Address |
264 BLUE RIDGE DR |
| City | GRAY |
| State | LA |
| Zip Code | 70359-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734785 | Cardiovascular Institute of The South Asc, LLC | Clinic/Center | 191 Innovation Court, Gray, LA 70359 | 2020-06-09 |
| 1265985915 | Gavin Triche | Physician Assistant | 128 Neuroscience Court, Gray, LA 70359 | 2016-07-29 |
| 1992939367 | Donna Marie Pugh | Health Maintenance Organization | 216 Champion St, Gray, LA 70359 | 2009-05-13 |
| 1700877297 | Ultrasound Enterprise LLC | Radiology | 165 Frontage Road, Suite B, Gray, LA 70359 | 2005-11-02 |
| 1083610364 | Imaging Center of South Louisiana, LLC | Radiology | 114 Neuroscience Court, Gray, LA 70359 | 2005-06-22 |
| 1285630129 | Southeast Neuroscience Center, LLC | Specialist | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| 1750387676 | Donald Severinus Gervais Jr. | Psychiatry & Neurology | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| 1114445194 | Teri Lynn Chatagnier | Counselor | 307 Lola St, Gray, LA 70359-3017 | 2017-08-30 |
| 1275039695 | Lashekia J Toussaint | Nurse Practitioner | 137 Marietta Pl, Gray, LA 70359-3119 | 2018-04-04 |
| 1063629772 | Tri-parish Orthopedic & Neurosurgical Institute,llc | Specialist | 115 Eureka Dr, Gray, LA 70359-3247 | 2007-05-16 |
| Find all providers in zip 70359 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114138 | Thomas Rowan | Counselor | 63069 Hummingbird Ln, Mandeville, LA 70448-7306 | 2020-11-05 |
| 1760089106 | Patricia Riley Mceacharn | Counselor | 161 Coumeaux Rd, Rayville, LA 71269 | 2020-10-08 |
| 1982211140 | Adonis Williams | Counselor | 410 E Askew Street, Tallulah, LA 71282 | 2020-09-30 |
| 1942814389 | Courtney Rayburn | Counselor | 9413 Prestonwood Dr, Shreveport, LA 71115-3733 | 2020-09-02 |
| 1780202127 | Allison Skapik | Counselor | 2700 South Broad St, New Orleans, LA 70125 | 2020-07-13 |
| 1386266922 | Kayla Richards | Counselor | 6201 Venecia Dr, Bossier City, LA 71111-7448 | 2020-05-16 |
| 1659993392 | Eugenia Colthia Washington | Counselor | 336 Lakewood Ave, Breaux Bridge, LA 70517-3235 | 2020-05-15 |
| 1801416060 | Renovo Wellness, LLC | Counselor | 10771 Perkins Rd Ste C, Baton Rouge, LA 70810-1693 | 2020-04-17 |
| 1558999656 | Kindred Counseling | Counselor | 1420 Avenue I, Bogalusa, LA 70427-4955 | 2020-04-01 |
| 1689200073 | Denise Lynn Guillot | Counselor | 10627 Hwy 71, Cheneyville, LA 71325-1325 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
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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.